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The Incidence of Cystic Artery Variation during Laparoscopic Surgery | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 7, Issue 3, 2010, Pages 389-403 | ||
| Author | ||
| Haythem A. Al-Sayigh | ||
| Abstract | ||
| The attractiveness of laparoscopic cholecystectomy has led to a new understanding of biliary anatomy especially of the Calot's triangle area in order to perform a successful surgery. This study aims to describe the common and variant anatomy related to the cystic artery during laparoscopic cholecystectomy so that to minimize anatomical complications and to recommend an anatomically safe procedure. The analysis involved fifty patients who underwent laparoscopic cholecystectomy by (American technique) at different Iraqi centers during a 6-month-period. Females constituted 84% of the patients. Routine preoperative ultrasound examination revealed gallstones in 86% of the patients. 18% of the cases demonstrated anomalous vascular anatomy. Vascular anomalies included caterpillar configuration of the right hepatic artery, a previously unreported right hepatic artery in the gallbladder bed, and cystic arteries that were early divided, low inserted, and originating from proper hepatic artery. Hartmann's pouch, cystic lymph node, and the superficial branch of the cystic artery were recognized as important anatomical landmarks during the procedure | ||
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