
最近5年間に当科で術前に直接胆道造影 (PTCあるいはERCP) を行った肝胆道系疾患450例を検索し, 外科的に問題となる副胆管は21例 (4.7%) にみられた.副胆管を外科的な立場から, その開口部位によりType I: 副胆管が肝より直接胆のうに開口, TypeII: 副胆管が胆のう管に, あるいは胆のう管が副胆管に開口, TypeIII: 副胆管が総肝管に開口するもので右副胆管をIIIa, 左副胆管をIIIb, TypeIV: 副胆管が総胆管に開口するもので右副胆管をIVa, 左副胆管をlvbの4つの型に分類し, Type別に症例を供覧するとともに, 集計しえた体邦報告例と自験例を中心に, その頻度, 形態および術中副胆管損傷の危険性について検討した.
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 5 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
