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Czasopismo

2004 | 63 | 1 |

Tytuł artykułu

The cystic artery in human foetuses

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The cystic artery varies in origin, course and number and it is important to recognise it during operative procedure. Insufficient recognition of its anatomical variation may contribute to a dangerous situation, especially during laparoscopic cholecystectomy. To prevent iatrogenic injuries of the vessels and bile ducts, correct preparation with clear identification of the anatomic structures is essential. Special attention must be given to the course of the cystic artery through the hepato-billiary triangle (Calot`s triangle). The assumption of the present study was recognition of the vasculature of the gallbladder in human foetuses. The purpose of this investigation was to determine the origin of the cystic artery and its relation to Calot’s triangle. In this study the cystic artery was most often (97.06%) a single vessel and only in one case (2.94%) was it a double vessel. It arose most often (82.34%) from the right proper hepatic artery, rarely from its trunk (8.82%) or its left branch (5.88%) and most rarely (2.94%) from the gastroduodenal artery. In all but one case the cystic artery coursed within Calot’s triangle. Its exceptional course out of Calot’s triangle concerned a cystic artery originating from the gastroduodenal artery (2.94%). The cystic artery most frequently (67.66%) runs behind the common hepatic duct, rarely (29.40%) over the common hepatic duct and most rarely (2.94%) on the left side of the cystic duct. In the material examined the cystic artery was not observed running in front of the common hepatic duct. The short type of cystic artery trunk (52.93%) was observed more frequently than the long one (44.13%).

Wydawca

-

Czasopismo

Rocznik

Tom

63

Numer

1

Opis fizyczny

p.47-50,fig.,ref.

Twórcy

autor
  • Ludwik Rydygier Medical University, Karlowicza 24, 85-092 Bydgoszcz, Poland
autor
autor

Bibliografia

  • 1. Balija M, Huis M, Stulhofer M, Nikolic V (2001) Ein Beitrag zur Nomenklatur der Variationen der Arteria Cystica. Der Chirurg, 72: 154–158.
  • 2. Bergamaschi R, Ignjatovic D (1999) Anatomic rationale for arterial bleeding from the liver bed during and/or after laparoscopic cholecystectomy: a postmortem study. Surg Laparosc Endosc Percutan Tech, 9: 267–270.
  • 3. Bergamaschi R, Ignjatovic D (2000) More than two structures in Calot's triangle. A postmortem study. Surg Endosc Apr, 14: 354–357.
  • 4. Chen WJ, Ying DJ, Liu ZJ (1999) Analysis of the arterial supply of the extrahepatic bile ducts and its clinical significance. Clin Anat, 12: 245–249.
  • 5. Chen TH, Shyu JF, Chen CH, Ma MH, Wu CW, Lui JC (2000) Variations of the cystic artery in Chinese adults. Surg Laparosc Endosc Percutan Tech, 3: 154–157.
  • 6. Duric B, Ignjatovic D, Zivanovic V (2000) New aspects in laparoscopic cystic artery anatomy. Acta Chir Yugosl, 47: 105–107.
  • 7. Futara G, Ali A, Kinfu Y (2001) Variations of the hepatic and cystic arteries among Ethiopians. Ethiop Med J, 39: 133–142.
  • 8. Gadzijev EM (2002) Surgical anatomy of hepatodudenal ligament and hepatic hilus. J Hepatobilary Pancreat Surg, 9: 531–533.
  • 9. Hugh TB, Kelly MD, Li B (1992) Laparoscopic anatomy of the cystic artery. Am J Surg, 163: 593–595.
  • 10. Idu M, Jakimowicz J, Iuppa A, Cuschieri A (1996) Hepatobiliary anatomy in patients with transposition on gallbladder: implications for safe laparoscopic cholecystectomy. Br J Surg, 83: 1442–1443.
  • 11. Jitea N, Burcos T, Voiculescu S, Cristian D. (2001) Analiza a 3100 colecistectomii laparoscopice. Chirurgia (Bucur), 96: 553–557.
  • 12. Komatsu T, Matsui O, Kadoya M, Yoshikawa J, Gabata I, Takashima T (1999) Cystic artery origin of the segment V hepatic artery. Cardiovasc Intervent Radiol, 22: 165–166.
  • 13. Molmenti E, Pinto P, Klein J, Klein A. (2003) Normal and variant arterial supply of the liver and gallbladder. Pediatric Transplant, 7: 80–82.
  • 14. Osemlak J, Siwek R (1984) The arterial supply of the extrahepatic biliary ducts in newborns and infants. Folia Morphol, 2: 137–143.
  • 15. Saeed M, Murshid K, Rufai A, Elsayed S, Sadiq M (2003) Coexistence of multiple anomalies in the celiac-mesenteric arterial system. Clin Anat, 16: 30–36.
  • 16. Sarkar AK, Roy TS (2000) Anatomy of the cystic artery arising from the gastroduodenal artery and its choledochal branch — a case report. J Anat, 197: 503–506.
  • 17. 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.
  • 18. Takayasu K, Muramatsu Y, Iwata R (1999) Hepatic arterial supply from the cystic artery: findings on arteriography, CT arteriography, and CT during arterial portography. AJR Am J Roentgenol, 172: 659–660.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-98db39cf-64d2-46b3-b033-0427e5369ec8
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