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Laparoscopic Surgical Anatomy of Calot`s Triangle…………………..………..…. | ||
| Kerbala Journal of Medicine | ||
| Article 3, Volume 4, Issue 9, 2011, Pages 957-963 PDF (0 K) | ||
| Authors | ||
| Adnan Al Helli; Mohammad Al Taee; Majid Al Khafaji | ||
| Abstract | ||
| introduction: Calot`s triangle is an anatomical space in the subhepatic region contains the cystic duct and cystic artery. These structures are of normal arrangement and configuration in about three quarters of people. Laparoscopic cholecystectomy now is the gold standard surgical procedure for the treatment of cholecystolithiasis but is associated with significant incidence of operative injuries. Recognition of the normal and variations of the surgical anatomy in this space is essential in order to reduce the incidence of these events. Aims: to start Iraqi data base, improve anatomy recognition and reduce laparoscopic complication. Method: Through a prospective observational study we identified the cystic artery and cystic duct characters within Calot`s triangle during Laparoscopic Cholecystectomy operations. Results: 200 cases, 96% females. Cystic artery; total single artery; 179, 89%, double cystic arteries; 21, 10.5%, normal configuration; 133, 66%, total artery anomalies; 67.33.5%. Cystic duct; normal ducts; 125/62.5%, total anomalies; 75/37.5% and other details. Discussion: the anatomy of Calot`s triangle is puzzling and surgeons should be aware of this fact. The published studies are of variable ranges, arterial variations are more frequent than ductal anomalies. Studies implementing Laparoscopic methodology sound the most accurate. The current study denotes higher incidences of normal cystic arteries and lower incidence of normal cystic duct compared to global ranges. Probably ethnic reasons play part in these differences. It is the time to start national data base system and implement more accurate diagnostic tools to improve diagnostic and therapeutic standards. Key wards: Calot`s Triangle, cystic duct and cystic artery variations, laparoscopic cholecystectomy. | ||
| Keywords | ||
| Calot; cystic duct and cystic artery variations; laparoscopic cholecystectomy | ||
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