国人胆道三维重建解剖变异应用研究

doi:10.13418/j.issn.1001-165x.2024.1.01

Abstract

Abstract: Objective This study is aimed to explore the walking of biliary system and the characteristics of anatomic variation, by reconstructing the three-dimensional model of biliary system in Chinese people. Methods According to the abdominal CT data of 100 patients who suffer from obstructive disease of biliary tract, three-dimensional models were reconstructed by using the Hisense computer-aided surgery (CAS) system，and were used to analyze the movement of intrahepatic biliary system. The biliary tract was classified according to Huang’s classification, that is the confluent mode of right posterior bile duct, right anterior bile duct and left hepatic duct, and the presence or absence of accessory hepatic duct. Results The three-dimensional models of bile ducts were successfully reconstructed in 100 Chinese patients. Seven types of biliary ducts can be observed. 54 cases (54%) had typical biliary tract anatomy (type I). 46 cases (46%) had anatomical variations, of which 10 cases (10%) were type II variants, 14 cases (14%) were type III variants, 10 cases (10%) were type IV variants, 2 cases (2%) were type V variants, and 2 cases (2%) were type VI variants. In addition, 8 cases (8%) had accessory hepatic ducts, of which 6 cases were accompanied by other variants. Conclusions The path and variation characteristics of biliary system can be identified clearly, by reconstructed Chinese biliary system in three dimensions. To discover news types of biliary tract variation can guide clinical diagnosis and treatment.

Key words: Three-dimensional reconstruction, , , , Biliary tract system, , , , Bile duct variation

CLC Number:

R445.3

Jiang Jianhong, Duan Renpeng, Li Xiaofeng. Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 1-4.

References 14

[1]	Sarawagi R, Sundar S, Raghuvanshi S, et al. Common and uncommon anatomical variants of intrahepatic bile ducts in magnetic resonance cholangiopancreatography and its clinical implication[J]. Pol J Radiol, 2016, 81: 250-255. DOI: 10.12659/PJR.895827.
[2]	Huang TL, Cheng YF, Chen CL, et al. Variants of the bile ducts: clinical application in the potential donor of living-related hepatic transplantation[J]. Transplant Proc, 1996, 28(3): 1669-1670. PMID: 8658831.
[3]	Hirano Y, Tatsuzawa Y, Shimizu J, et al. Efficacy of multi-slice computed tomography cholangiography before laparoscopic cholecystectomy[J]. ANZ J Surg, 2006, 76(8): 693-695. DOI: 10.1111/j.1445-2197.2006.03833.x.
[4]	Hyodo T, Kumano S, Kushihata F, et al. CT and MR cholangiography: advantages and pitfalls in perioperative evaluation of biliary tree[J]. Br J Radiol, 2012, 85(1015): 877-896. DOI: 10.1259/bjr/21209407.
[5]	Yeh BM, Breiman RS, Taouli B, et al. Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodium-enhanced excretory MR, and multi-detector row CT cholangiography-initial experience[J]. Radiology, 2004, 230(3): 645-651. DOI: 10.1148/radiol.2303021775.
[6]	王三贵, 王海峰, 陈海波, 等. 数字胆道系统在复杂胆石症手术中的应用[J]. 中国临床解剖学杂志, 2021, 39(1): 90-94. DOI: 10.13418/j.issn.1001-165x.2021.01.017.
[7]	Gao Y, Hu JL, Zhang XX, et al. Use of Hisense computer-assisted surgery system enhances infrapyloric lymph node dissection for gastric cancer[J]. J Surg Res, 2019, 242: 31-39. DOI: 10.1016/j.jss.2019.04.019.
[8]	Deka P, Islam M, Jindal D, et al. Analysis of biliary anatomy according to different classification systems[J]. Indian J Gastroenterol, 2014, 33(1): 23-30. DOI: 10.1007/s12664-013-0371-9.
[9]	Alessandro C, Eugenia P, Matteo C, et al. Anatomic variations of intrahepatic bile ducts in a european series and meta-analysis of the literature[J]. J Gastrointest Surg, 2011, 15(4): 623-630. DOI: 10.1007/s11605-011-1447-4.
[10]	Uysal F, Obuz F, Uçar A, et al. Anatomic variations of the intrahepatic bile ducts: analysis of magnetic resonance cholangiopancreatography in 1011 consecutive patients[J]. Digestion, 2014, 89(3): 194-200. DOI: 10.1159/000358558.
[11]	Al-Muhanna AF, Lutfi AM, Al-Abdulwahhab AH, et al. Magnetic resonance and retrograde endoscopic cholangiopancreatography-based identification of biliary tree variants: are there type-related variabilities among the Saudi population[J]? Surg Radiol Anat, 2019, 41(8): 869-877. DOI: 10.1007/s00276-019-02249-0.
[12]	Choi JW, Kim TK, Kim KW, et al. Anatomic variation in intrahepatic bile ducts: an analysis of intraoperative cholangiograms in 300 consecutive donors for living donor liver transplantation[J]. Korean J Radiol, 2003, 4(2): 85-90. DOI: 10.3348/kjr.2003.4.2.85.
[13]	Tanaka T, Nakada T, Ito T, et al. Topographical relationship between the accessory hepatic duct and the hepatic artery system[J]. Anat Sci Int, 2021, 96(1): 112-118. DOI: 10.1007/s12565-020-00568-6.
[14]	Hiromichi I, Akinori N, Tomoyuki F, et al. Preoperative evaluation of accessory hepatic ducts by drip infusion cholangiography with CT[J]. BMC Surg, 2017, 17(1): 52. DOI: 10.1186/s12893-017-0251-9.

[1]	Guo Hongzhi, Wang Yu, Zhang Jiaqi, Liang Haibin, Ma Ziwei, Feng Wei, Wu You, Si Ziyi. Evaluation of placental vascular structure in preeclampsia by vascular casting combined with CT three-dimensional model [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 5-10.
[2]	Li Jiawei, Zhang Jing, Li Canran, Lan Wenjie, Ji Qingyu, Guo Zhiyong, Zhang Yunfeng, Liu Qi, Chen Qingwei, Li Xiaohe. X-ray measurement of proximal femur anatomical parameters in Mongolian population [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 11-16.
[3]	. Digital measurement and clinical significance of occipitocervical Angle and posterior occipitocervical Angle in children and adolescents [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 17-20.
[4]	Li Wen, Yang Siyi, Huang Lei, Qing Jiwen, Jiang Songtao, Zhang Lei. Morphological characteristics and clinical significance of Lisfranc ligament based on MRI [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 21-25.
[5]	Li Fanfan, Xu Yang, Wang Xiaoxu. Therapeutic effect of shikonin on the treatment of granuloma lobular mastitis in model rats by regulating Nrf2/HO-1 signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 26-32.
[6]	Wang Xinghang, Ding Jiayuan, Li Fang, Bao Cuifen, Yan Lijing. Ginsenoside Rg1 reduces the inflammatory response of microglia after oxygen glucose deprivation/resupply by inhibiting the NLRP3 inflammasome pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 33-41.
[7]	Cheng Yingying, Wu Jianjun, Cai Haiyan , Jiao Xunwen, Ma Jiangbo, Ding Yinxiu. Activation and functional changes of astrocytes cultured in vitro under inflammatory stimulation [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 42-46.
[8]	Qi Zhi, Yang Li, Jia Qiuye, Chen Haolun, Duan Zhaoda, Wu Chunyun. Edaravone regulates Sirt3 expression in lipopolysaccharide-activated microglia via MAPKs signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 47-53.
[9]	Zhang Jingjing, Wang Hongxin. Protective effect of Baicalin on rats with pulmonary hypertension through PDGF/P38 MAPK signaling pathway [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 54-58.
[10]	Yue Qin, Chen Rongli, Xiong Jingxi, Wang Tingyi, Cai Zhiheng, Yi Qiushi, Zeng Xinyi. Effect of Bletilla striata polysaccharides on the choke-area of cross-boundary flap in rats [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 59-64.
[11]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[12]	Wu Yanfei, Ma Jianxiong, Lu Bin, Wang Ying, Bai Haohao, Jin Hongzhen, Ma Xinlong. Study on the correlation between the reconstruction of grayscale values using CT post-processing technology and the compressive strength of the endplate [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 71-76.
[13]	Zhuang Wanqiang, Tang Yi, Luo Yonggang, Zhang Hui. An early and mid-term retrospective study of the effects of arthroscopy combined with high tibial osteotomy on patellar position and patellofemoral joint function [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 77-82.
[14]	Luo Ying, Dou Weiyu, Wu Xiaohang, Chen Jingkun, Peng Changgui, Pan Jianying . Risk factors of postoperative complications of calcaneal fractures treated with hippocampal plate internal fixation through minimally invasive method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 83-88.
[15]	Chen Junchen, Cao Wenying, Luo Yanjun, He Wanyi, Zhu Zhenzhen, Peng Zhiqiang. Comparison of the efficacy of aspiration thrombectomy and thrombectomy with combined aspiration and stent retriever in the treatment of anterior circulation cerebral embolism [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 89-93.

Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 14

Related Articles 15

Metrics

Comments

Recommended 0