cystic artery
Cystic Vein Draining Into the Liver Bed: a Laparoscopic...
Usually multiple tiny veins and venous twigs drain the gallbladder, but their pattern is variable. Much of the gallbladder that lies against the liver drains via small veins into hepatic sinusoids (the...
Mechanism how Traction Distorts the Biliary Confluence
“Tenting” or cephalad/anterior traction on Hartmann’s pouch or the cystic duct changes the geometry of Calot’s triangle and the cystic duct–CBD junction. This pulls the cystic...
Cystic Artery Arising Accessory Right Hepatic...
Surgical video case: cystic artery arising accessory right hepatic artery is a relatively uncommon anatomical variation that surgeons need to be keenly aware of during hepatobiliary and pancreatic surgery....
Cystic Artery with Bipolar Diathermy
Cystic artery and its big branches are better secured with bipolar even if monopolar dissection looked to be sufficient. Safety and feasibility of cystic artery control with bipolar electrocautery in...
Arterial Dissection in a Cystic Artery Variation...
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...
Caterpillar (Moynihan’s) Hump Anomaly Encountered...
While performing laparoscopic cholecystectomy in a obese male of BMI 40, after obtaining critical view of safety, a large pulsating vessel presumed to be cystic arteries with overlying node was found....
Arterial Dissection in a Case of Chronic Fibrotic...
Accurate identification of the anatomy of the cystic artery is important. Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct...
Triple Arterial Blood Supply to the Gallbladder...
In the classic textbook description of hepatic artery anatomy, the common hepatic artery (CHA) arises from the celiac axis. The CHA then branches into the gastroduodenal artery and proper hepatic artery....
Madany Triangle is Safe in Case with Caterpillar...
Madany triangle is safe as a critical view of safety even in a case with Caterpillar hump of Rt hepatic artery. We abolish the seat belt effect of the cystic artery and its branches on the proximal part...
Cystic Artery With Bipolar Diathermy
Cystic artery and its big branches are better secured with bipolar even if monopolar dissection looked to be sufficient. Safety and feasibility of cystic artery control with bipolar electrocautery in...
Step by Step Laparoscopic Cholecystectomy
Surgical teaching video: step by step laparoscopic cholecystectomy. Step 1: Dissection of the hepatocystic triangle. Step 2: Establishing the critical view of safety. Step 3: Cystic artery is clipped...
The Critical View of Safety (CVS)
Laparoscopic cholecystectomy was introduced into wide practice about 1990, with demonstrated benefit to patients. However, it was associated with a sharp increase in major bile duct injuries. Biliary...
Division of Cystic Artery in the Presence of...
During lap chole is it common to see the Caterpillar hump of Rt hepatic artery?
Dissection of Cystic Duct Below Rouvier Sulcus...
Dissection of the cystic duct is usually above the plane of Rouvier Sulcus, but in some cases like this, you may encounter the cystic duct below this plane. Careful cautious dissection of the cystic duct...
Critical View of Safety
The Critical View of Safety (CVS) is a method of target identification, the targets being the cystic duct and the cystic artery. Today, CVS is taught and used widely. It is accepted as a good means of...
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