Am J Surg. 1992 Jun;163(6):593-5.

Laparoscopic anatomy of the cystic artery.

Source

Department of General Surgery, St. Vincent's Hospital, Sydney, New South Wales, Australia.

Abstract

Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct damage. Therefore, accurate identification of the anatomy of the cystic artery is important. We reviewed the anatomy of the cystic artery and its variations as seen through the video laparoscope. A "normal" cystic artery was found in only 72% of patients. The most important laparoscopically noted variations were doubling of the cystic artery (22%) and an artery that ran inferior to the cystic duct (6%). Small branches of the cystic artery, which we suggest be named Calot's arteries, supply the cystic duct and may cause troublesome bleeding during laparoscopic dissection in the hepatobiliary triangle. A scissor dissection technique was found most useful for identifying the arterial anatomy. Careful identification of arterial anomalies should help to reduce the incidence of bile duct injuries during laparoscopic cholecystectomy.

PMID:: 1534464; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

Review

MeSH Terms

LinkOut - more resources

Medical

Endoscopy - MedlinePlus Health Information

Supplemental Content

Save items

Related citations in PubMed

Laparoscopic visualization of the cystic artery anatomy. [World J Surg. 1999]
Laparoscopic visualization of the cystic artery anatomy.
Balija M, Huis M, Nikolic V, Stulhofer M. World J Surg. 1999 Jul; 23(7):703-7; discussion 707.
New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy. [World J Gastroenterol. 2007]
New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy.
Ding YM, Wang B, Wang WX, Wang P, Yan JS. World J Gastroenterol. 2007 Nov 14; 13(42):5629-34.
Laparoscopic cholecystectomy, Calot's triangle, and variations in cystic arterial supply. [Surg Endosc. 2000]
Laparoscopic cholecystectomy, Calot's triangle, and variations in cystic arterial supply.
Suzuki M, Akaishi S, Rikiyama T, Naitoh T, Rahman MM, Matsuno S. Surg Endosc. 2000 Feb; 14(2):141-4.
Review [Identification of gallbladder pedicle anatomy during laparoscopic cholecystectomy]. [Chir Ital. 2004]
Review [Identification of gallbladder pedicle anatomy during laparoscopic cholecystectomy].
Tebala GD, Innocenti P, Ciani R, Zumbo A, Fonsi GB, Bellini P, De Chiara F, Fittipaldi D, Hadjiamiri H, Lamaro S, et al. Chir Ital. 2004 May-Jun; 56(3):389-96.
Review Bile duct injury after laparoscopic cholecystectomy. The United States experience. [Surg Endosc. 1998]
Review Bile duct injury after laparoscopic cholecystectomy. The United States experience.
MacFadyen BV Jr, Vecchio R, Ricardo AE, Mathis CR. Surg Endosc. 1998 Apr; 12(4):315-21.

See reviews... See all...

Recent activity

Clear Turn Off Turn On

Laparoscopic anatomy of the cystic artery.
Laparoscopic anatomy of the cystic artery.
Am J Surg. 1992 Jun ;163(6):593-5.

PubMed
Treatment of early diffuse cutaneous systemic sclerosis patients in Japan by low...
Treatment of early diffuse cutaneous systemic sclerosis patients in Japan by low-dose corticosteroids for skin involvement.
Clin Exp Rheumatol. 2004 Jan-Feb ;22(3 Suppl 33):S87-9.

PubMed
Effects of Tai Chi exercise on physical and mental health of college students.
Effects of Tai Chi exercise on physical and mental health of college students.
Am J Chin Med. 2004 ;32(3):453-9.

PubMed
Molecular cloning of human CREB-2: an ATF/CREB transcription factor that can neg...
Molecular cloning of human CREB-2: an ATF/CREB transcription factor that can negatively regulate transcription from the cAMP response element.
Proc Natl Acad Sci U S A. 1992 Jun 1 ;89(11):4820-4.

PubMed
Spacer endoprosthesis for the treatment of infected total hip arthroplasty.
Spacer endoprosthesis for the treatment of infected total hip arthroplasty.
J Arthroplasty. 2004 Sep ;19(6):760-7.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to:

Laparoscopic anatomy of the cystic artery.

Source

Abstract

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Medical

Supplemental Content

Save items

Related citations in PubMed

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information