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TY - CHAP

M1 - Book, Section
TI - Biliary Tract
A1 - Harris, David A.
A1 - Sheu, Eric G.
A2 - Doherty, Gerard M.
PY - 2020
T2 - Current Diagnosis & Treatment: Surgery, 15e
AB - The anlage of the biliary ducts and liver is a diverticulum
appearing on the ventral foregut in 3 mm embryos. The cranial portion
becomes the liver; a caudal bud, the ventral pancreas; and an
intermediate bud, the gallbladder. The hepatic diverticulum becomes a
solid mass of cells that later recanalizes to form ducts. The smallest,
the bile canaliculi, first appear as a basal network between the
primitive hepatocytes (Figure 27–1). In most cases, the common hepatic
duct is formed by the union of a single right and left duct. In 25%
of individuals, the anterior and posterior divisions of the right duct
join the left duct separately. The origin of the common hepatic duct is
close to the liver but always outside its substance. It runs 4 cm
before joining the cystic duct to form the common bile duct. The common
duct begins in the hepatoduodenal ligament, passes behind the first
portion of the duodenum, and runs in a groove on the posterior surface
of the pancreas before entering the duodenum. Its terminal 1 cm is
intimately adherent to the duodenal wall. The total length of the common
duct is about 9 cm.
SN -
PB - McGraw Hill LLC
CY - New York, NY
Y2 - 2020/07/21
UR - accessmedicine.mhmedical.com/content.aspx?aid=1171279421
ER -

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