[Individual differences in the location of the gallbladder and extrahepatic bile ducts with regard to selection of surgical approach].
The investigation was performed on 150 human cadavers nonfixed in formalin. The results of the investigation were compared with the data of clinical studies in 52 patients with acute and chronic cholecystitis and surgical procedures in them. The data obtained allowed the following considerations: to expose the gallbladder with ducts in patients with an elongated-narrow chest and small epigastric angle, as well as in a transitory form of its structure, incisions made near the costal arch (Kocher, S. P. Fedorov incisions) seem to be more rational, whereas in a broad and short chest with a large epigastric angle incision of Rio-Branco, Kalinovsky, Cherni and upper median one are felt to be preferable.
D000886:Anthropometry; D001652:Bile Ducts / Q000033:anatomy & histology* / Q000601:surgery; D002764:Cholecystitis / Q000601:surgery*; D002765:Cholecystography; D005260:Female; D005704:Gallbladder / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D013909:Thorax / Q000033:anatomy & histology
Individual'nye razlichiia v polozhenii zhelchnogo puzyria i vnepechenochnykh zhelchnykh protokov primenitel'no k vyboru operativnogo dostupa