广州医科大学学报

本文对135例尸体中出现的15例胆囊下肝管进行了研究,其出现率为11.11±0.27%,全部均为单支,位于胆囊窝右侧,胆囊下肝管最大管径5mm,最长5cm,与肝外胆道汇合形式有三种,分别注入右肝管及肝总管内,本文对胆囊下肝管的来源及其临床意义进行了讨论,认为胆襄下肝管来源于肝右前叶胆囊窝内的浅层肝管,并提出临床上剥离胆囊时应注意有胆囊下肝管存在的可能性,避免不必要的损伤。

15 cases of subvesical ducts which occurred in 135 cadavers were studied。The incidence of subvesical ducts was 11.11% All of them were single。They were situated on the right side of fossa vesicae felleae。The largest diameter of fossa the subvesical ducts was 5 mm and the longest duct was 5 cm。There were three types of connections between the subvesical duct,and the extrahepatic biliary duct, which drained into right hepatic duct or the hepatic common duct。 The purpose of this paper is to discuss the origin and the clinical significance of the subvesical ducts。We believe that the subvesical ducts are derived from the branch of the hepatic duct of the right front liver lobe in the fossa vesicae felleae。this paper also suggests presence of the subvesical duct is possible and the gallbladder should be disconnected from the liver with care so as not to cause damage。