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13.
Congruence between the courses of the biliary ductal and the hepatic arterial systems
Mlakar, Boštjan, 1972- ...
The development of diagnostic methods and new surgical techniques means it is increasingly important to have accurate knowledge of the anatomy of the hepatic arterial and biliary systems, including ...their variations, at extrahepatic and intrahepatic levels. The aim of this study was to determine how often the biliary and arterial systems run together and branch in the samepattern. Fifty corrosion casts of the liver were used to analyse the origin and branching patterns of arteries and the confluences of bile ducts. In addition, both systems were analysed to determine the frequency of normal arrangements and variations. The congruence of the course of both systems was analysed at the porta hepatis and in the left and right hemilivers down to thesegmental level. A congruent course of the arterial and the biliary systemswas identified in 38% of cases at the porta hepatis, in 32% of cases inthe left hemiliver and in 30% of the right hemiliver. The congruence of bothsystems at the porta hepatis and in the left hemiliver was identified onlyif both systems were normal. In the right hemiliver, however, the congruence of both systems was identified even when both systems were variable, but only in 10% of cases. The results of the study show that, on thebasis of knowledge of the course and branching of one system, the other system cannot be predicted.
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