. Transactions of the Western Surgical Association. can tell. If thecystic duct is of normal length the degree of dilatationwhich is possible is much less than when one of theanomalies exists to which Ruge^ first called work was confirmed to a great extent by Des-compes^ and Belloc. We are studying this questionof the mode of union of the cystic and hepatic ducts,the result of which investigation will be publishedlater. There are three principal types of anomalous modesof union of the cystic and hepatic ducts: (1) theparallel type, in which the two ducts do not unite untila point
. Transactions of the Western Surgical Association. can tell. If thecystic duct is of normal length the degree of dilatationwhich is possible is much less than when one of theanomalies exists to which Ruge^ first called work was confirmed to a great extent by Des-compes^ and Belloc. We are studying this questionof the mode of union of the cystic and hepatic ducts,the result of which investigation will be publishedlater. There are three principal types of anomalous modesof union of the cystic and hepatic ducts: (1) theparallel type, in which the two ducts do not unite untila point a little above the ampulla; (2) the interiorspiral type, in which the cystic winds around the frontof the hepatic duct and enters the latter on its leftborder; and (3) the posterior spiral type, in whichthe cystic winds around behind the hepatic duct, andenters the latter either on its posterior, left lateral, oreven its anterior surface. *This observation agrees with that of von Haberer andClairmont. (See report of their work on previous pages.).
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