By Poston G.J.
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Northover JMA, Terblanche J. Applied surgical anatomy of the biliary tree. In: Blumgart LH, ed. Biliary tract. Edinburgh: Churchill Livingstone, Vol 5, 1982 48. Bismuth H, Franco D, Corlette NB, Hepp J. Long term results of Roux-en-Y hepaticojejunostomy. Surg Gynecol Obstet 1978; 146:161–7 49. Voyles CR, Blumgart LH. A technique for construction of high biliary enteric anastomoses. Surg Gynecol Obstet 1982p;154:885–7 50. Blumgart LH, Kelley CJ. Hepaticojejunostomy in benign and malignant bile duct stricture: approaches to the left hepatic ducts.
Arch Surg 1927; 15:589 6. Hjortsjo CH. The topography of the intrahepatic duct systems. Acta Anat 1951; 11:599–615 7. Ton That Tung. La vascularisation veineuse du foie et ses applications aux resections hepatiques. These, Hanoi, 1939 8. Healey JE Jr, Schroy PC. Anatomy of the biliary ducts within the human liver. Arch Surg 1953; 66:599–616 9. Goldsmith NA, Woodburne RT. Surgical anatomy pertaining to liver resection. Surg Gynaecol Obstet 1957; 195:310–18 10. Lau WY. The history of liver surgery.
16). 51 This technique is also sometimes referred to as lowering the hilar plate. In only 1% of cases is this made difficult by any vascular imposition between the hilar plate and the inferior aspect of the liver. This manoeuvre will expose considerably more of the left hepatic duct than the right, which runs a shorter extrahepatic course. Contraindications to this approach include patients with a very deep hilum which is displaced upwards and rotated laterally, 36 and those patients who have undergone removal or atrophy of either the right or left livers resulting in hilar rotation.
Surgical Management of Hepatobiliary and Pancreatic Disorders by Poston G.J.
by Edward
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