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Published in:

01-07-2006

A Study of the Subvesical Bile Duct (Duct of Luschka) in Resected Liver Specimens

Authors: Kenju Ko, MD, Junichi Kamiya, MD, Masato Nagino, MD, Koji Oda, MD, Norihiro Yuasa, MD, Toshiyuki Arai, MD, Hideki Nishio, MD, Yuji Nimura, MD

Published in: World Journal of Surgery | Issue 7/2006

Abstract

Background

Injury to the duct of Luschka is associated with biliary fistula from the gallbladder bed after cholecystectomy. However, few studies have reported on the detailed anatomy. We elucidated the anatomy and frequency of the duct of Luschka

Methods

A total of 128 specimens from patients who underwent right hepatectomy or more extensive right-sided liver resection between February 1992 and December 2003 were examined. Specimens were fixed in formalin, and serial sections were prepared to trace the course of the bile ducts from the subsegmental branch level.

Results

The duct of Luschka was observed in 6 (4.6%) specimens. The sites of confluence were as follows: right anterior inferior dorsal branch (2 patients), right anterior branch (2 patients), right hepatic duct (1 patient), and common hepatic duct (1 patient). The upstream end was located in the liver parenchyma of the right anterior inferior dorsal subsegment (5b) and connective tissue of the gallbladder bed in 4 and 2 specimens, respectively.

Conclusions

The duct of Luschka never crosses the segmental (5b) border. Therefore, its upstream region may not be injured by segmentectomy or more extensive liver resection. However, it is possible to injure the duct of Luschka at the common hepatic duct, even if right-sided hepatectomy is performed, as the sites of confluence included the common hepatic duct.

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Title: A Study of the Subvesical Bile Duct (Duct of Luschka) in Resected Liver Specimens
Authors: Kenju Ko, MD
Junichi Kamiya, MD
Masato Nagino, MD
Koji Oda, MD
Norihiro Yuasa, MD
Toshiyuki Arai, MD
Hideki Nishio, MD
Yuji Nimura, MD
Publication date: 01-07-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0469-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A Study of the Subvesical Bile Duct (Duct of Luschka) in Resected Liver Specimens

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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