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VASCULAR SURPRISES IN CALOT’S TRIANGLE DURING LAPROSCOPIC CHOLEYSTECTOMY

Tariq Nawaz, MD. Rawalpindi Medical University

Study Design: Prospective and observational study.

Place and Duration: From January, 2012 to July 2017. Surgical Unit ll, Holy Family Hospital, Rawalpindi.

Patients and Methods: Thousand patients with a diagnosis of cholithiasis were included. Exclusion criteria are patient younger than 12 year and older than 80 year.  Calot’s triangle dissection was done meticulously. Cystic artery and hepatic artery anomalies and variations were observed and analyzed on SPSS 21. 

Results: The age varies from 12 to 80 years. On the basis of distributional variation the cystic artery was single in 90% cases, branched in 7% cases and absent in 3% cases. On positional variations the cystic artery was superomedial to the cystic duct in 85% cases, anterior in 7% cases, and posterior in 3% cases and low lying in 5% of the cases. On the basis of length variation results showed that 800 (80%) cases had a normal cystic artery .A short cystic artery was found in 150 (15%) cases and a long cystic artery was present in 50 (5%) cases. Other arterial variations are of hepatic artery i.e Moynihan’s Hump (3%) and and right hepatic artery present in calots triangle in 5%

Conclusions:  For the safety of laparoscopic cholecystectomy one should be well aware of the anatomical variations of the cystic and hepatic artery.

Keywords: Cholelithiasis, Cholecystitis, Laparoscopic Cholecystectomy.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86192

Program Number: P084

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

61

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