The common hepatic duct is formed at the porta hepatis by the union of the right and left hepatic ducts. It runs down for about 3-4 cm in the free edge of the lesser omentum, to the right of the hepatic artery and in front of the portal vein. It is joined by the cystic duct to form the common bile duct.
| Location | From the porta hepatis down the free edge of the hepatoduodenal ligament to its junction with the cystic duct |
|---|---|
| Parts |
|
| Nerve Supply | Hepatic plexus |
| Blood Supply | Right hepatic artery; Cystic artery branches |
| Venous drainage |
|
| Lymphatic drainage |
|
Carries bile from the whole liver toward the common bile duct.
It forms the medial border of the hepatocystic (Calot) triangle, so it is the duct most at risk if mistaken for the cystic duct during cholecystectomy. A large stone in the gallbladder neck or cystic duct can press on it from the side and cause jaundice (Mirizzi syndrome).
Accidental clipping, cutting or burning of the common hepatic duct during cholecystectomy, causing bile leak, jaundice or later stricture.
Obstruction of the common hepatic duct by external compression from a stone impacted in the gallbladder neck or cystic duct.
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