Das Ziel dieser Studie war die Identifizierung von charakteristischen anatomischen Beziehungen zwischen dem lymphatischen und dem biliären System der Leber, insbesondere der zwischen diesen Systemen vermuteten Verbindungen in den intrahepatischen Anteilen des Portaltrakts. An 75 Lebern von Erwachsenen wurden morphologische Untersuchungen der vaskulär-fibrösen Strukturen der intrahepatischen Anteile des Portaltrakts durchgeführt. Es wurde festgestellt, dass die einzelnen Segmente der intrahepatischen Strukturen und ihre fibrösen Schichten aus drei vaskulär-fibrösen Blättern oder Scheiden bestehen, die sich zirkulär einhüllen. Die extramuralen biliären Schleimdrüsen bilden die Verbindungen zwischen dem lymphatischen und dem intrahepatischen biliären System.
Abstract
The aim of the study was the identification of anatomical characteristics of lymphobiliary interactions and their presumed connections in the intrahepatic portal tracts. Morphological investigation of vascular-fibrous structures in the intrahepatic portal tracts of 75 adults liver samples was performed. It was described that the single segments of the intrahepatic structures and their fibrous tunics constitute of three vascular-fibrous sheathes orbiculary surrounding each other. The extramural biliary mucous glands provide the connections between the lymphatic and intrahepatic biliary systems.
5 Chanukvadze I M. Structure and connections of paravasal connective tissue in liver. Dissertation for M. D. Tbilisi Medical Institute 1979
6 Chanukvadze I M. Structure and connections of fibrous sheathes of portal complexes and hepatic veins. Surgical anatomy and experimental morphology of liver. Collection of Scientific Works of Tbilisi State Medical Institute. Tbilisi, T. S. M. I. 1989; 13-33
7 Couinaud C. Le Foie: Etudes Anatomiques et Chirurgicales. Masson, Paris 1957
8
Dedo D D.
A cannula for maintaining long-term thoracic duct fistulas.
Surgery.
1973;
73
791-794
9 Dumpe E P, Krilov L B, Shurkalin B K. Thoracic duct drainage and lymphosorption in complex management of obstructive jaundice and pancreonecrosis. Managed Lymphodrainage in clinical practice and experiments. Moscow 1983; 35-39
10 Fegereshanu I, Ionesku-Budjor K, Aloman D, Albu A. Surgery of liver and intrahepatic biliary tracts. Bucharest 1976; 537
11 Gugushvili L L. Hepatic retrograde blood circulation and portal hypertension. Meditsina, Moscow 1972; 196
12
Konstantinov B A, Gotie S V, Tsiruklnikova O M, Filin A V.
Living related liver transplantation. The first clinical experience.
Khirurgiia.
2000;
3
4-9
13 Kornev O S, Davlatkindev F A, Kim B K. Thoracic duct measuring drainage in urgent surgery. Khirurgiia 3: 90-93
14 Kovanov V V, Anikina T I. Surgical anatomy of human fasciae and tissue spaces. 2nd ed. Meditsina, Moscow 1967; 428
15 Kovanov V V, Anikina T I, Razumnaia T A. Surgical significance of the connective tissue structures of the posterior part of human liver. Scientific methodological problems of soft tissue studying. Gorkyi, Kirov Medical Institute 1973; 137-146
16
Nakanuma Y, Sasaki M, Terada T, Kenichi H.
Intrahepatic peribiliary glands of human. II. pathological spectrum.
J Gastroenterol Hepatol.
1994;
9
80-86
17 Ostroverchov G S, Zabrodskaiya V F. Surgical anatomy of liver and biliary tract. Abdominal surgical anatomy. Meditsina, Leningrad 1972; 297-384
18
Ostroverchov G S, Zabrodskaiya V F, Aliev A Z.
Compensatory role of lymphatic system in choledochal and cystic duct obstruction in experiment.
The works of M. M. I. 1st ed.
1973;
18
112-117
19 Pavlinov B G. Structure and development of fibrous tissue around hepatic blood vessels and bile ducts. Dissertation for M. D., Omsk Medical State Institute 1969; 148
20 Razumnaiya T A. Development and structure of soft tissue of human liver and its significance in surgery. Dissertation for M. D., Moscow Sechenov Medical Institute 1976; 36
21 Razumnaiya T A. Morphological and topographical peculiarities of fixative system of human liver. Clinical aspects of surgical anatomy in experimental surgery. Moscow Sechenov Medical Institute 1979; 102-105
22 Shapkin V S, Thoidze S S, Izraelishvili M S. Surgical procedures on liver in the conditions of extracorporeal blood circulation. Sabchota Sakartvelo, Tbilisi 1983; 108
23 Sherlock S, Dooli G. Diseases of liver and biliary tracts. Meditsina, Moscow 1999; 859
24
Snegirevskaiya E S, Veselov V S.
Changes in plasmogenic hepatocytes and their specific sites of intercellular junctions in complicated forms of cholelithiasis.
Arkhiv Anatomii Gistologii Embriologii.
1986;
1
12-15
26
Terasaki S, Nakanuma Y, Unoura M. et al .
Involvement of peribiliary glands in primary sclerosing cholangitis: histopathologic study.
Internal Medicine.
1997;
36
766-770
27 Thoidze S S, Chanukvadze I M. Interactions among liver paravascular fibrouse structures. Materials of Transcaucasian Conference of Morphologists. Baku 1978; 268-369
28
Virenkov Y A, Kataev S M.
Hepatic microcirculatory flow according to the evidences of electronic microscopy.
Arkhiv Anatomii Gistologii Embriologii.
1983;
4
21-24
