Arterial Dissection in a Cystic Artery Variation in Laparoscopic Cholecystectomy

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4 weeks ago
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specialty:
General Surgery

Case description

Laparoscopic cholecystectomy is a commonly performed procedure in gastrointestinal surgery, but it carries the risk of bleeding complications due to vascular injuries, which can lead to significant morbidity and mortality. This risk is especially pronounced in cases of major bleeding, where control can become technically challenging for inexperienced surgeons. Uncontrolled arterial bleeding during the procedure is concerning and can also heighten the risk of bile duct damage, making the accurate identification of the cystic artery's anatomy crucial.Research shows that a "normal" cystic artery is present in only 72% of patients undergoing this surgery. The most frequently observed anatomical variations noted during laparoscopic procedures include a doubling of the cystic artery in 22% of cases and instances where an artery runs inferior to the cystic duct in 6% of patients. Additionally, small branches of the cystic artery, which could be referred to as Calot's arteries, supply the cystic duct and have the potential to cause significant bleeding during laparoscopic dissection within the hepatobiliary triangle. This underscores the importance of thorough anatomical knowledge in minimizing complications during laparoscopic cholecystectomy.

 

tags: Arterial dissection cystic artery cystic artery anatomy laparoscopic cholecystectomy laparoscopic video case laparoscopy surgical anatomy surgical technique

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