Anatomy of cystic artery variant with video laparoscopic cholecystectomy and its significance / 中国微创外科杂志

ABSTRACT

Objective To study variant artery and treatment under video laparoscopic cholecystectomy(LC). Methods 521 patients who received selective cholecystectomy(male 159 patients and female 362 patients, aged 11 to 76 years),were operated on with video laparoscopy. Cystic artery was anatomized under general anesthesia and carbon dioxide pneumoperitoneum. Results Variant Cystic artery presented in 140 patients(26 .9% ). Cystic artery of 60 patients originated from anterior or posterior common bile duct, single cystic artery was in 3 patients, double cys- tic artery in 51 patients, cystic artery arose from celiac artery was in 6 patients, cystic body artery existed in 17 pa- tients and cystic artery originated from variant right hepatic artery in 3 patients. Conclusion Variant cystic artery is very common. Correct recognition, dissection and safe treatment are an important to prevent hemorrhage and bile duct injuries during laparoscopic cholcystectomy.