Variations of the Cystic Artery in Chinese Adults

Chen, Tien-Hua; Shyu, Jia‐Fwu; Chen, Chien‐Hsing; Ma, Kuo‐Hsing; Wu, Chew-Wun; Lui, Wing-Yui; Liu, Jiang-Chuan

doi:10.1097/00129689-200006000-00011

Cited by 20 publications

(19 citation statements)

References 5 publications

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“…Our results suggest a relatively more constant anatomy for the cohort studied than an American series where aberrant arteries occurred in 21% of cases (Molmenti et al, 2003) and that for Ethiopians with a 24.5% prevalence of aberrant cystic arteries (Futara et al, 2001). The lower prevalence of aberrant cystic origins in this study is also at variance with a rate of 23.4% reported among Chinese subjects (Chen et al, 2000). These wide variations are due to methodologic differences but possibly also to actual population differences.…”

Section: Discussioncontrasting

confidence: 56%

“…Larobina and Nottle (2005) studied an Australian population and reported the cystic artery to pass posterior to the common hepatic duct in 88% of cases. In a Chinese study (Chen et al, 2000), 72.7% of cystic arteries that originated from the right hepatic artery ran inferior to the common hepatic duct as they entered Calot's triangle. Our study also found the cystic arteries to be related to the common bile duct.…”

Section: Discussionmentioning

confidence: 99%

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Variant anatomy of the cystic artery in adult Kenyans

2007

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Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Variant anatomy of the cystic artery in adult Kenyans

2007

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“…Statistical analysis revealed more frequent dominance of the deep branch (60% in the M, 71% in the F group), which is in concordance with the results obtained by other authors [6,14].…”

Section: Discussionsupporting

confidence: 92%

“…Many descriptions concerning the points of origin of the cystic artery and its course in this region can be found in the literature [6,[13][14][15][16][17][18][19][20]. The most important steps during laparoscopic cholecystectomy include correct identification of the structures within Calot's triangle and proper dissection and ligation of the cystic artery and bile ducts, which prevent postoperative haemorrhage and bile leakage.…”

Section: Discussionmentioning

confidence: 99%

The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

Torres¹,

Torres²,

Chróścicki³

et al. 2011

Videosurgery and Other Miniinvasive Techniques

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“…Surgeons must understand the anatomic relationships between the radial nerve and the bony landmarks of the humerus to avoid radial nerve injury during humeral shaft fracture internal fixation. However, two studies [8,9] suggest some anatomic differences and variations among Chinese and Caucasian populations.…”

Section: Introductionmentioning

confidence: 99%

Courses of the Radial Nerve Differ Between Chinese and Caucasians

Chou

Shyu

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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We analyzed anatomic distribution of the radial nerve in the upper arms in Chinese-adult embalmed cadavers (120 nerves in 60 cadavers) and compared it with findings reported for Caucasian adults. The acromion, the medial epicondyle, and the lateral epicondyle were used as bony landmarks. We used previously described techniques to quantitatively describe the location of the radial nerve in relation to the surrounding skeleton. Courses of the radial nerve relative to the humeral shaft in Chinese subjects differed from those previously reported for Caucasian subjects. The parameters that differed from Caucasians were: the distances from the acromion to the upper margin (147 ± 21 mm versus 124 ± 12 mm), the acromion to the lower margin (195 ± 36 mm versus 176 ± 17 mm), and the medial epicondyle to the lower margin (111 ± 21 mm versus 131 ± 10 mm). Our study provides information to help identify the radial nerve during surgery and elucidates racial differences in the distribution of the radial nerve between Chinese and Caucasian populations.

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Variations of the Cystic Artery in Chinese Adults

Cited by 20 publications

References 5 publications

Variant anatomy of the cystic artery in adult Kenyans

Variant anatomy of the cystic artery in adult Kenyans

The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

Courses of the Radial Nerve Differ Between Chinese and Caucasians

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