Abstract
As diagnostic modalities for benign and malignant diseases of the pancreas and hepatobiliary structures improve, surgical and other minimally invasive procedures with curative intent become increasingly more common. Anatomic variations of the pancreatobiliary tree and its vasculature are exceedingly common. Precise knowledge of the relevant anatomy is of utmost significance both for diagnosis and interventional treatment of such diseases. In this chapter, we outline the embryological development of the hepatobiliary tree and pancreas, and describe the pertinent surgical anatomy with emphasis on frequently occurring variants that must be anticipated in order to prevent unnecessary complications.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Tsuchiya R, Fujisawa N. On the etymology of “pancreas”. Int J Pancreatol. 1997;21(3):269–72.
Stanger BZ, Hebrok M. Control of cell identity in pancreas development and regeneration. Gastroenterology. 2013;144(6):1170–9.
Mazur PK, Siveke JT. Genetically engineered mouse models of pancreatic cancer: unravelling tumour biology and progressing translational oncology. Gut. 2012;61(10):1488–500.
Sandrasegaran K, Patel A, Fogel EL, Zyromski NJ, Pitt HA. Annular pancreas in adults. AJR Am J Roentgenol. 2009;193(2):455–60.
Zyromski NJ, Sandoval JA, Pitt HA, Ladd AP, Fogel EL, Mattar WE, et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg. 2008;206(5):1019–25. discussion 25–7.
Rossi JM, Dunn NR, Hogan BL, Zaret KS. Distinct mesodermal signals, including BMPs from the septum transversum mesenchyme, are required in combination for hepatogenesis from the endoderm. Genes Dev. 2001;15(15):1998–2009.
Si-Tayeb K, Lemaigre FP, Duncan SA. Organogenesis and development of the liver. Dev Cell. 2010;18(2):175–89.
Raynaud P, Tate J, Callens C, Cordi S, Vandersmissen P, Carpentier R, et al. A classification of ductal plate malformations based on distinct pathogenic mechanisms of biliary dysmorphogenesis. Hepatology. 2011;53(6):1959–66.
Couinaud C. Le foie; études anatomiques et chirurgicales. Paris: Masson; 1957.
Jarnagin WR, Blumgart LH, Jarnagin WR, Brody LA, Brown KT, Covey AM, et al. Blumgart’s surgery of the liver, biliary tract and pancreas. 5th ed. Philadelphia: Elsevier Saunders; 2012.
Skandalakis JE, Colborn GL. Skandalakis’ Surgical anatomy the embryologic and anatomic basis of modern surgery. Athens: Paschalidis Medical Publications, McGraw-Hill (distributor); 2004.
Cucchetti A, Peri E, Cescon M, Zanello M, Ercolani G, Zanfi C, et al. Anatomic variations of intrahepatic bile ducts in a European series and meta-analysis of the literature. J Gastrointest Surg. 2011;15(4):623–30.
Healey JE Jr, Schroy PC. Anatomy of the biliary ducts within the human liver; analysis of the prevailing pattern of branchings and the major variations of the biliary ducts. AMA Arch Surg. 1953;66(5):599–616.
Schnelldorfer T, Sarr MG, Adams DB. What is the duct of Luschka?--a systematic review. J Gastrointest Surg. 2012;16(3):656–62.
Hepp J, Couinaud C. Approach to and use of the left hepatic duct in reparation of the common bile duct. La Presse medicale. 1956;64(41):947–8.
Jennings RE, Berry AA, Strutt JP, Gerrard DT, Hanley NA. Human pancreas development. Development. 2015;142(18):3126–37.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Zambirinis, C.P., Allen, P.J. (2018). Anatomy of the Pancreas and Biliary Tree. In: Barreto, S., Windsor, J. (eds) Surgical Diseases of the Pancreas and Biliary Tree. Springer, Singapore. https://doi.org/10.1007/978-981-10-8755-4_1
Download citation
DOI: https://doi.org/10.1007/978-981-10-8755-4_1
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-8754-7
Online ISBN: 978-981-10-8755-4
eBook Packages: MedicineMedicine (R0)