Jungian Theory and Therapy by Tom Laughlin

By Tom Laughlin

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When two “cystic ducts” are identified, it is likely that the cystic duct is congenitally short or has been effaced by a stone and that the two structures thought to be dual cystic ducts are, in fact, the common bile duct and the common hepatic duct. 20 The three types of cystic duct/common hepatic duct confluence: (a) angular (75%), (b) parallel (20%), and (c) spiral (5%). Dissection of the parallel union confluence (b, arrow) may lead to injury of the side of the common hepatic duct. During laparoscopic cholecystectomy this is often a cautery injury.

The common hepatic artery runs for 2–3 cm anteriorly and to the right to ramify into gastroduodenal and proper hepatic arteries. The proper hepatic artery enters the hepatoduodenal ligament, normally runs for 2–3 cm along the left side of the common bile duct, and terminates by Left medial sectionectomy or Resection segment 4 (also see third order) or Segmentectomy 4 (also see third order) Left lateral sectionectomy or Bisegmentectomy 2,3 (also see third order) 2 3 4 2 3 4 2 3 4 2 3 4 2 3 5 8 7 5 8 7 6 Right trisectionectomy (preferred term) or Extended right hepatectomy 7 or Extended right hemihepatectomy 6 (stipulate ±Sg 1) Left trisectionectomy (preferred term) or Extended left hepatectomy or Extended left hemihepatectomy (stipulate ±Sg 1) 4 7 6 5 8 5 8 7 6 3 5 8 6 Left medial section 4 5 dividing into the right and left hepatic arteries, the right artery immediately passing behind the common hepatic duct.

While the definition of “aberrant” does not state whether the structure provides sole supply, it is usually considered to be synonymous with “replaced” in respect to these arteries. e. 6 CT scan of patient with absent celiac artery. Hepatic artery (HA), splenic artery (SA) (labeled “b” in sagittal view, inset) and left gastric artery (labeled “a” in sagittal view, inset) arise independently from the aorta. Superior mesenteric artery is labeled “c” in inset. ) sole supply to a volume. Consequently, ligation of an accessory artery does not cause ischemia.

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