Laparoscopic anatomy of the cystic artery

Hugh, Thomas B.; Kelly, Michael D.; Li, Bei

doi:10.1016/0002-9610(92)90564-8

Cited by 66 publications

(68 citation statements)

References 4 publications

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“…In a basic article on the surgery of the gallbladder, Anson [13] has stressed on the clinical significance of the gallbladder vascular supply and also reported some variations of the cystic arteries including the rare occurrence of dual cystic arteries. Hugh et al [14] have considered the doubling of the cystic artery, found in 22% of the patients, as the most important variation seen through the video laparoscope. Based on a study by means of 64-detector row CT before laparoscopic cholecystectomy, Sugita et al [15] reported the presence of two cystic arteries in 19% of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…In the field of biliary tract surgery misinterpretation of these variances can cause major complications. [14,18] Fathy et al [19] have stated that laparoscopic cholecystectomy was complicated by inadvertent injury of the cystic artery in 0.85% of the cases. Proper identification by dissection, ligation and cutting of the cystic arteries is an essential step in cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

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A rare type of hepatobiliary arterial system in man – presence of accessory left and replaced right hepatic arteries and double cystic arteries

Jelev¹,

Angelov²

2015

Anatomy

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In addition to the normal textbook description, the hepatobiliary arterial system in man shows many anatomical variations that have definite clinical importance. The presence of aberrant hepatic and cystic arteries may lead to a number of iatrogenic injuries during some open surgical or endoscopic procedures. In the course of routine students' dissection of a 62-year-old Caucasian female cadaver, an interesting pattern of the arterial supply to the liver and gallbladder was described. In the case reported, an unusually small proper hepatic artery was identified supplying the left liver lobe. In addition, an accessory left hepatic artery was also observed arising from the left gastric artery. Another large variant artery to the liver was also dissected that started from the first portion of the superior mesenteric artery -known as replaced right hepatic artery. The gallbladder, in this case, had two supplying arteries of different origin arising from the small proper hepatic artery and replaced right hepatic artery. This rare and complicated arterial variation might be of considerable importance for liver and gallbladder resections, liver transplants and laparoscopic procedures in this area.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare type of hepatobiliary arterial system in man – presence of accessory left and replaced right hepatic arteries and double cystic arteries

Jelev¹,

Angelov²

2015

Anatomy

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“…One of the major step in dissection of calots triangle is to identify cystic artery, which is cauterized or clipped subsequently. 2 Improper control of cystic artery leads to uncontrollable bleed which obscures the operative field and thus surgeon is forced to convert the laparoscopic procedure into open cholecystectomy bringing lot of morbidity to the patient.one more problem encountered is the variable anatomy in calots triangle leading to injury of hepatic artery and common bile duct. Hepato-biliary area is known for its congenital anomalies.…”

Section: Introductionmentioning

confidence: 99%

Control of cystic artery during laparoscopic cholecystectomy: clips versus ultrasonic energy devices which is better?

Venkatapuram

Sateesh

2017

Int Surg J

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Background: This study was undertaken to know whether clip usage or ultrasonic energy application, obtains better haemostasis of cystic artery during laparoscopic cholecystectomy.Methods: About 80 patients undergoing laparoscopic cholecystectomy were selected on a prospective basis and divided into two equal groups- A and B. a comparative study was done between the two group. Clips were used to control cystic artery in group A patients and ultrasonic energy device was used for the same in group B.Results: In group A, 2 patients had clip slippage intraoperatively which was dealt by reapplication of clips.in group B,1 patient had intraoperative bleeding from cystic artery few minutes after application of ultrasonic energy which was dealt by bipolar cauterization. In both the groups no, postoperative bleeding was encountered.Conclusions: During laparoscopic cholecystectomy, clip usage and ultrasonic energy application are equally competent in achieving haemostasis of cystic artery.

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“…age and sex prediliction in our study was similar to that observed in the society. median age was 46yrs 8 in females and 49 in males. it was females who were commonly affected 9 .during cholecystectomy one of the important step is to identify cystic artery in the calots triangle and gain control of it for a smooth surgery and perfect haemostasis.…”

Section: Discussionmentioning

confidence: 98%

Cystic Artery Haemostatic Control During Laparoscopic CholecystectomyClips Or Bipolar Cautery - A Comparative Study

Hariprasad¹,

Venkatapuram²,

Satish³

2015

JMSCR

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Laparoscopic anatomy of the cystic artery

Cited by 66 publications

References 4 publications

A rare type of hepatobiliary arterial system in man – presence of accessory left and replaced right hepatic arteries and double cystic arteries

A rare type of hepatobiliary arterial system in man – presence of accessory left and replaced right hepatic arteries and double cystic arteries

Control of cystic artery during laparoscopic cholecystectomy: clips versus ultrasonic energy devices which is better?

Cystic Artery Haemostatic Control During Laparoscopic CholecystectomyClips Or Bipolar Cautery - A Comparative Study

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