Surgical anatomy of innervation of the gallbladder in humans and Suncus murinus with special reference to morphological understanding of gallstone formation after gastrectomy
作者： Shuang-Qin Yi , Tetsuo Ohta , Akihiko Tsuchida , Hayato Terayama , Munekazu Naito
关键词: Gallbladder 、 Hepatic plexus 、 Gallstones 、 Common bile duct 、 Medicine 、 Cystic artery 、 Anatomy 、 Cystic duct 、 Hepatoduodenal ligament 、 Plexus
摘要: AIM: To clarify the innervation of human gallbladder, with special reference to morphological understanding gallstone formation after gastrectomy. METHODS: The liver, gallbladder and surrounding structures were immersed in a 10 mg/L solution alizarin red S ethanol stain peripheral nerves cadavers (n = 10). Innervation areas was completely dissected under binocular microscope. Similarly, same Suncus murinus (S. murinus) examined employing whole mount immunohistochemistry. RESULTS: occurred predominantly through two routes. One from anterior hepatic plexus, along cystic arteries duct. Invariably this route passed hepatoduodenal ligament. other posterior duct ventrally. This also ligament dorsally. Similar results obtained S. murinus. CONCLUSION: plexus via artery and/or is crucial for preserving innervation. Lymph node dissection specifically may affect incidence gallstones gastrectomy. Furthermore, common bile should not be disregarded. Preservation attenuate
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