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Czasopismo

2009 | 68 | 3 |

Tytuł artykułu

The course of the cystic artery during laparoscopic cholecystectomy

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Proper recognition of the particular structures that form the triangle of Calot is essential for the proper and safe performance of laparoscopic cholecystectomy. Proper recognition, ligation, and cut of the cystic duct and cystic artery with branches (dorsal and ventral) remain an integral condition for the removal of the gallbladder. Calot’s triangle, as an orientation structure, determines the most common location of the cystic artery. The triangle of Calot is one of the most variable regions of the abdomen in terms of anatomy. The aim of this study was to evaluate how important for surgery is the detailed anatomical recognition of the main branches of the cystic artery in Calot’s triangle during laparoscopic cholecystectomy. Relations of the main branches of the cystic artery were evaluated in 88 patients that underwent laparoscopic cholecystectomy at the Department of General Surgery of the District Specialistic Hospital of Lublin. The anatomical relations of cystic duct and artery were classified into typical and variant types. Significantly more frequently variants of cystic artery were observed in women. However, the time of the procedure was not significantly related with the type of cystic artery. (Folia Morphol 2009; 68, 3: 140–143)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

68

Numer

3

Opis fizyczny

p.140-143,fig.,ref.

Twórcy

autor
  • Human Anatomy Department, Medical University of Lublin, Poland
  • Department of General and Oncological Surgery, District Specialistic Hospital, Lublin, Poland
  • Department of General and Oncological Surgery, District Specialistic Hospital, Lublin, Poland
autor
  • Human Anatomy Department, Medical University of Lublin, Poland
autor
  • Human Anatomy Department, Medical University of Lublin, Poland
  • 3th Department of Gynaecology, Medical University of Lublin, Poland
  • Human Anatomy Department, Medical University of Lublin, Poland
  • 1st Department of Radiology, Medical University of Lublin, Jaczewskiego 8, 20–090 Lublin, Poland
autor
  • Public Health Department, UITS Rzeszow, Poland
  • Regional Hospital of High Specialty, Hospital Reforma Oaxaca Mexico, Mexico
autor
  • Gynecologic Oncology Division, European Gynaecology Endoscopy School, Sacred Heart Hospital, Negrar (Verona), Italy
autor
  • 1st Department of Radiology, Medical University of Lublin, Jaczewskiego 8, 20–090 Lublin, Poland

Bibliografia

  • 1. Balija M, Huis M, Nikolić V, Štulhofer M (1999) Laparoscopic visualization of the cystic artery anatomy. World J Surg, 23: 703–707.
  • 2. Chen TH, Shyu JF, Chen CH, Ma KH, Wu CW, Lui WY, Liu JC (2000) Variations of the cystic artery in Chainese adults. Surg Laparosc Endosc Percutan Tech, 10: 154–157.
  • 3. Cushieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, Trede M, Troidl H (1991) The European experience with laparoscopic cholecystectomy. Am J Surg, 161: 385–387.
  • 4. Dąbrowiecki S, Szczęsny W (2006) Miejsce laparoskopii we współczesnym postępowaniu diagnostycznym. Wideochirurgia i Inne Techniki Małoinwazyjne, 1: 33–39.
  • 5. Durić B, Ignajatović D, Zivanović V (2000) New aspects in laparoscopic cystic artery anatomy. Acta Chir Iugosl, 47: 105–107.
  • 6. Futara G, Ali A, Kinfu Y (2001) Variations of the hepatic and cystic arteries among Ethiopians. Ethiop Med J, 39: 133–142.
  • 7. Hobbs MS, Mai Q, Knuiman MW, Fletcher DR, Ridout SC (2006) Surgeon experience and trends in intraoperative complications in laparoscopic cholecystectomy. Br J Surg, 93: 844–853.
  • 8. Hugh TB, Kelly MD, Li B (1992) Laparoscopic anatomy of the cystic artery. Am J Surg, 163: 593–595.
  • 9. Hüscher CGS, Lirici MM, Di Paola M, Crafa F, Napolitano C, Mereu A, Recher A, Corradi A, Amini M (2003) Laparoscopic cholecystectomy by ultrasonic dissection without cystic duct and artery ligature. Surg Endosc, 17: 442–451.
  • 10. Jin Shu-Wu, Chuang Peng, Xian-Hai Mao, Pin Lv (2007) Bile duct injury associated with laparoscopic and open cholecystectomy: sixteen-year experience. World J Gastroenterol, 13: 2374–2378.
  • 11. Jurga G, Fabisiewicz S, Łazarz M, Pawlak J (2007) Operacje technikami laparoskopowymi wykonywane w trybie nagłym — 2 lata własnych doświadczeń. Wideochirurgia i Inne Techniki Małoinwazyjne, 2: 119–121.
  • 12. Kaska Ł, Śledziński Z, Kobiela J, Makarewicz W, Stefaniak T (2006) Porównanie jakości życia po operacjach laparoskopowych i klasycznych. Wideochirurgia i Inne Techniki Małoinwazyjne, 2: 77–86.
  • 13. Kirshtein B, Bayme M, Mayer T Lantsberg L, Avinoach E, Mizrahi S (2005) Laparoscopic treatment of gastroduodenal perforations: comparison with conventional surgery. Surg Endosc, 19: 1487–1490.
  • 14. Kot M, Głuszek S, Matykiewicz J, Kotucha B (2006) Cholecystektomia laparoskopowa — czy jest to bezpieczna metoda operacyjna? Doświadczenia własne. Wideochirurgia i Inne Techniki Małoinwazyjne, 1: 113–120.
  • 15. Loffeld RJLF (2006) The consequences of lost gallstones during laparoscopic cholecystectomy. Neth J Med, 64: 364–366.
  • 16. Mlakar B, Gadžijev EM, Ravnik D, Hribernik M (2003) Anatomical variations of the cystic artery. Eur J Morph, 41: 31–34.
  • 17. Olmi S, Magnone S, Bertolini A, Croce E (2005) Laparoscopic versus open appendectomy in acute appendicitis. Surg Endosc, 19: 1193–1195.
  • 18. Rosenmûller M, Haapamäki MH, Nordin P, Stenlund H, Nilsson E (2007) Cholecystectomy in Sweden 2000–2003: a nationwide study on procedures, patient characteristics, and mortality. BMC Gastroenterology, 7: 35.
  • 19. Suzuki M, Akaishi S, Rikiyama T, Naitoh T, Rahman MM, Matsuno S (2000) Laparoscopic cholecystectomy, Calot’s triangle, and variations in cystic arterial supply. Surg Endosc, 14: 141–144.
  • 20. Tebala GD (2006) Three-port laparoscopic cholecystectomy by harmonic dissection without cystic duct and artery clipping. Am J Surg, 191: 718–720.
  • 21. You-Ming Ding, Bin Wang, Wei-Xing Wang, Ping Wang, Ji-Shen Yan (2007) New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy. WJG, 13: 5629–5634.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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