Anatomic Relationship of the Cystic Duct to the Cystic Artery in 100 Consecutive Cases of Cholecystectomy

1950 ◽  
Vol 30 (4) ◽  
pp. 1001-1004 ◽  
Author(s):  
Howard K. Gray ◽  
Frank B. Whitesell
2021 ◽  
Vol 9 (4) ◽  
pp. 8120-8126
Author(s):  
K. Sangameswaran ◽  

Background: Cystic duct drains the bile from the gallbladder into the common bile duct. Gallstone disease is one of the most common problems affecting the digestive tract and may lead to many complications. To avoid the complications in these patients the gallbladder is removed surgically (Cholecystectomy). Ligation of cystic duct and cystic artery is a prerequisite procedure when cholecystectomy is done. Understanding about the normal anatomy & the possible variations in biliary ductal system is important for the surgeons for doing cholecystectomy surgery successfully. Errors during gallbladder surgery commonly result from failure to appreciate the common variations in the anatomy of the biliary system. Aim of the study: To find out the incidence of variations in the length, course, and termination of cystic duct in cadavers. Materials and Methods: Present study was done in 50 adult cadavers in the Department of Anatomy, Government Tiruvannamalai medical college, Tamilnadu. Meticulous dissection was done in the hepatobiliary system of these cadavers. Observations: During the study variations in the length of cystic duct, course and different modes of insertion of cystic duct were observed. Conclusion: Knowledge of variations in the length of cystic duct and knowing about different modes of course & insertion of cystic duct is necessary for surgeons while conducting cholecystectomy. The risk of iatrogenic injury is especially high in cases where the biliary anatomy is misidentified prior to surgery. KEY WORDS: Cystic duct, Gallbladder, Cholecystectomy.


2012 ◽  
Vol 31 (9) ◽  
pp. 1365-1370 ◽  
Author(s):  
James W. Tsung ◽  
Daniel Fenster ◽  
David O. Kessler ◽  
Joseph Novik

2015 ◽  
Vol 29 (10) ◽  
pp. 1967-1971 ◽  
Author(s):  
P. Palomo López ◽  
R. Becerro de Bengoa Vallejo ◽  
D. López López ◽  
J.C. Prados Frutos ◽  
J. Alfonso Murillo González ◽  
...  

2003 ◽  
Vol 189 (6) ◽  
pp. S210
Author(s):  
Daniel Faustin ◽  
Ira Spector ◽  
Jonathan Goldstein ◽  
Steven Klein

2001 ◽  
Vol 29 (6) ◽  
pp. 729-733 ◽  
Author(s):  
Edward G. McFarland ◽  
Juan Carlos Caicedo ◽  
Marie Isabel Guitterez ◽  
Paul S. Sherbondy ◽  
Tae Kyun Kim

Iatrogenic brachial plexus injury is an uncommon but potentially severe complication of shoulder reconstruction for instability that involves dissection near the subscapularis muscle and potentially near the brachial plexus. We examined the relationship of the brachial plexus to the glenoid and the subscapularis muscle and evaluated the proximity of retractors used in anterior shoulder surgical procedures to the brachial plexus. Eight fresh-frozen cadaveric shoulders were exposed by a deltopectoral approach. The subscapularis muscle was split in the middle and dissected to reveal the capsule beneath it. The capsule was split at midline, and a Steinmann pin was placed in the equator of the glenoid rim under direct visualization. The distance from the glenoid rim to the brachial plexus was measured with calipers with the arm in 0°, 60°, and 90° of abduction. The brachial plexus and axillary artery were within 2 cm of the glenoid rim, with the brachial plexus as close as 5 mm in some cases. There was no statistically significant change in the distance from the glenoid rim to the musculocutaneous nerve, axillary artery, medial cord, or posterior cord with the arm in various degrees of abduction. Retractors placed superficial to the subscapularis muscle or used along the scapular neck make contact with the brachial plexus in all positions tested.


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