Anatomic variations of the cystic duct assessed by magnetic resonance cholangiopancreatography

Q4 Medicine

Italian journal of anatomy and embryology Pub Date : 2018-01-01 DOI:10.13128/IJAE-24165

F. Sherifi, I. Bajraktari, Sadi Bexheti, Ali Lahu, Zaim Gashi, J. Shatri

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引用次数: 1

Abstract

The cystic duct is known for its anatomical variability. The purpose of this research was to evaluate the anatomical variations of the cystic duct based on the number, size, and its insertion into the common hepatic duct. This study included 63 patients (32 males and 31 females). The examinations were carried out using the Siemens Type of MRCP in the Aloka Clinical Surgery Clinic in Pristina as well as at the Radiologic Clinic in the UKC University Clinical Centre of Kosova in -Prishtina. The average length of the cystic duct was 27.3 mm ranging from 10 to 54 mm. The longest cystic duct length was in patients aged 30-39 years. The average cystic duct width was 3.2 mm ranging from 2 to 6 mm. The greatest cystic width were in patients aged 20-29 years. The cystic duct in 58.7% of cases had lateral proximal insertion (males 50.0%, females 67.7%); middle lateral insertion was 11.1% (males 12.5%, females 9.7%); middle medial insertion was seen in 6.3% of males; medial distal insertion was seen in 3.2% of females; and anterior insertion was seen in 3.1% of males. In 4.8% of cases the insertion position could not be evaluated. Cystic duct anatomic variations are very important for diagnostic and therapeutic approach, because the duct is part of the Trigonum of Calot and must be handled carefully during operation.

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磁共振胆管造影评估胆囊管的解剖变异

囊管以其解剖学上的可变性而闻名。本研究的目的是根据胆囊管的数量、大小及其插入肝总管的位置来评估其解剖学上的变化。本研究纳入63例患者(男性32例，女性31例)。检查在普里什蒂纳的Aloka临床外科诊所以及普里什蒂纳的UKC科索沃大学临床中心的放射学诊所使用西门子型MRCP进行。囊管平均长度27.3 mm, 10 ~ 54 mm不等。30 ~ 39岁的患者囊管长度最长。囊管平均宽度3.2 mm，范围2 ~ 6mm。囊宽以20 ~ 29岁患者最大。58.7%的病例囊管为外侧近端插入(男50.0%，女67.7%);中外侧插入占11.1%(男性12.5%，女性9.7%);6.3%的男性有中内侧插入;3.2%的女性出现内侧远端插入;3.1%的男性有前插入。在4.8%的病例中，插入位置无法评估。囊管解剖变异对诊断和治疗方法非常重要，因为囊管是Calot三角区的一部分，在手术中必须小心处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Italian journal of anatomy and embryology Medicine-Embryology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The Italian Journal of Anatomy and Embryology, founded in 1901 by Giulio Chiarugi, Anatomist at Florence University, is a peer-reviewed journal sponsored by the Italian Society of Anatomy and Embryology. The journal publishes original papers, invited review articles, historical article, commentaries, obituitary, and book reviews. Its main focus is to understand anatomy through an analysis of structure, function, development and evolution. Priority will be given to studies of that clearly articulate their relevance to the anatomical community. Focal areas include: experimental studies, contributions based on molecular and cell biology and on the application of modern imaging techniques; comparative functional morphology; developmental biology; functional human anatomy; methodological innovations in anatomical research; significant advances in anatomical education. Studies that are essentially descriptive anatomy are appropriate only if they communicate clearly a broader functional or evolutionary significance. All papers should be submitted in English and must be original works that are unpublished and not under consideration by another journal. An international Editorial Board and reviewers from the anatomical disciplines guarantee a rapid review of your paper within two to three weeks after submission.