The point of the junction of the cystic duct with the common hepatic duct was studied by means of various preoperative and intraoperative cholangiographic procedures and by gross intraoperative examinations. The anomalous junction of the cystic duct with the common bile duct by a very low position may cause difficulties at surgery. A cystic duct remnant that is associated with a low medial insertion is usually longer than normal, either due to encasement in a common sheath with the extrahepatic bile duct or because the junction is in the intrapancreatic or periampullary area.
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