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Surgery of the Extrahepatic Biliary Tract
J. Cabassu
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The surgical procedures involved in extrahepatic biliary tract diseases are challenging. Extrahepatic biliary tract diseases occur less frequently in dogs than hepatic parenchymal conditions. These diseases include various primary and secondary diseases of the biliary tract such as obstruction, rupture, infection. Because patients are physiologically compromised, human and canine extrahepatic biliary tract surgery has relatively high morbidity and mortality, despite advances in surgical techniques and supportive care.
ANATOMY
Intralobular ducts form within the liver parenchyma from bile canaliculi. These converge further into lobar ducts, which on emergence from the liver surface are called hepatic ducts. At that moment, they become part of the extrahepatic biliary tract. The number and patterns of hepatic ducts are highly variable. Five ducts are common with two to eight being recorded in dogs. Once the hepatic ducts receive the cystic duct from the gallbladder, the single vessel is known as the common bile duct. The common bile duct runs into the lesser omentum and joins the duodenum at the level of the sphincter of Oddi. Its terminal portion (intramural portion) continues for some 2 cm within the duodenal wall, finally tapering to a nozzle to open by the side of the pancreatic duct at the level of the major duodenal papilla. […]
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About
Affiliation of the authors at the time of publication
Clinique CABASSU 12 Avenue du Prado 13006 Marseille France
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