scholarly journals Origin of cystic artery from hepatic artery proper and its surgical implications

Author(s):  
Sachin Patil ◽  
Kumkum Rana ◽  
Smita Kakar ◽  
Anilkumar Mittal
2008 ◽  
Vol 49 (9) ◽  
pp. 987-990 ◽  
Author(s):  
Y. Katada ◽  
M. Kishino ◽  
K. Ishihara ◽  
T. Takeguchi ◽  
H. Shibuya

The arterial supply of the gallbladder usually arises from the right hepatic artery. Other origins include the left, proper, and common hepatic arteries. We report cases of the cystic artery arising from the superior mesenteric artery and arising from the dorsal pancreatic artery originating in turn from the superior mesenteric artery, as demonstrated by angiography and computed tomography.


2017 ◽  
Vol 37 ◽  
pp. 60-64 ◽  
Author(s):  
Claudia Trombatore ◽  
Roberto Scilletta ◽  
Noemi Bellavia ◽  
Pietro Trombatore ◽  
Vincenzo Magnano S. Lio ◽  
...  

1984 ◽  
Vol 35 (3) ◽  
pp. 455-468 ◽  
Author(s):  
A.B. Boekelaar ◽  
B. Baljet ◽  
J. Drukker

In this study the arterial vascular supply of the upper abdominal organs in the rat was investigated. In general the main anatomical features seem to be in accordance with the anatomy in man. However there are some important differences worth mentioning and the nomenclature used in the rat is not adequate in all respects: 1. The branch of the celiac artery which bifurcates into the hepatic artery proper and the gastroduodenal artery should not be given the incorrect name hepatic artery but is named common hepatic artery. 2. The hepato-esophageal artery is a constantly present branch of the hepatic artery proper running in the hepatogastric ligament. 3. The right gastric artery, present in about 40% of the specimens, is a branch of the gastroduodenal artery which runs towards the lesser curvature where it communicates freely with a left gastric artery branch. 4. The gastrosplenic artery is one of the branches of the splenic artery. It divides into a gastric and a splenic branch. The gastric branch is the only short gastric artery present in the rat. 5. A gastro-epiploic artery at the splenic side of the stomach is not present in the rat. The continuation of the splenic artery into the greater omentum has been referred to as the left epiploic artery. Anastomoses with epiploic branches of the gastro-epiploic artery are present in the greater omentum.


1969 ◽  
Vol 6 (1) ◽  
pp. 714-717
Author(s):  
MUHAMMAD HUSSAIN ◽  
ADNAN BADAR ◽  
MANZOOR ALI ◽  
SHAHID ALAM ◽  
NAIK ZADA ◽  
...  

BACKGROUND: Lap cholecystectomy is gold standard for cholelithiasis. Earlier the incidence ofmorbidity and mortality was higher. Later on with the understanding of anatomy and fine techniquesboth morbidity and mortality decreased. Understanding of the anatomy of calot’s triangle reduces thecomplications of the procedure.OBJECTIVE: To study the pattern of variations in cystic artery and comparison with Caucasians.MATERIAL AND METHODS: All laparoscopic cholecystectomies performed in Shah MedicalCentre,over a period of 1 year from January 2013 to December 2013,in whom detailed anatomy ofcalot’s triangle was clearly displayed were included in the study. Those laparoscopic cholecystectomiesin whom the detailed anatomy was not clear were excluded from the study.Laparoscopic cholecystectomies were performed under general anesthesia. The anatomy of cystic arteryand its branches were identified, and it was also correlated in relation to cystic duct and common hepaticduct.We performed 240 lap cholecystectomies over a period of 1 year from January 2013 to December 2013.RESULTS: The pattern of cystic artery was studied in 240 laparoscopic procedures. Origin of cysticartery from right hepatic artery was observed in 82% cases. Double cystic arteries were observed in 8%cases. Common hepatic artery gave rise to 6% cystic arteries. Cystic arteries originated fromgastroduodenal artery in 3% cases. Hepatic parenchyma gave rise to 2% cases.CONCLUSION: Percentage of variations in cystic artery as compared to Caucasians are not different inour study.These variations should be kept in mind to reduce complications.KEYWORDS: laparoscopic cholecystectomy, calot’s triangle, hepatic artery, cystic artery.


2015 ◽  
Vol 04 (03) ◽  
pp. 153-154
Author(s):  
Satyajit Mitra ◽  
Alakesh Gogoi

AbstractThe cystic artery supplies oxygenated blood to the gallbladder and cystic duct. It usually arises from the right hepatic artery as a single branch, but cases with double cystic artery has also been reported from time to time. During a routine dissection class, the authors found a case in which two cystic arteries originated from the right hepatic artery to supply the two surfaces of gallbladder separately. As the extrahepatic biliary region is the most usual site of surgical intervention, the reporting of any form of variation in this region becomes a necessity.


2017 ◽  
Vol 06 (03) ◽  
pp. 184-187
Author(s):  
◽  

Abstract Background: A thorough knowledge of extra hepatic biliary system vasculature is very important for surgeons to avoid iatrogenic bleeding during upper abdominal surgeries. Aim: Cystic artery usually a branch of right hepatic artery rarely has anomalous origin from coeliac trunk or from its branches. Very rarely it has an extracoeliac origin. The aim is to study the incidence of origin of cystic artery other than coeliac trunk. Material and method: The study was done on 50 formalin fixed cadavers [32male, 18 female] in the department of anatomy, Bangalore medical college and research institute during 2014-17. During routine dissection of coeliac trunk, cystic artery was traced and observed for its origin. Results: Cystic artery took its origin from right hepatic artery in 37 [74%], left hepatic artery in 9[18%], hepatic artery in 3[6%] and superior mesenteric artery ini [2%] cadaver. Conclusion: The incidence of extra coeliac axis origin of cystic artery is 2% which arose from superior mesenteric artery. Prior knowledge of these variations is important for surgeons and interventional radiologists during pancreatobiliary surgeries, angiogram and arterial embolization.


2014 ◽  
Author(s):  
Craig Hacking ◽  
Balaji Vasu

2021 ◽  
Vol 8 (27) ◽  
pp. 2363-2367
Author(s):  
Leena Ammini Bhaskaran

BACKGROUND Cystic artery originates from right hepatic artery which is a branch of hepatic artery proper of coeliac trunk from abdominal aorta. Variations in the origin and course of cystic artery were observed in this study. Contents of Calot’s triangle were also studied. Knowledge of normal anatomy, variations of the biliary apparatus and the arterial supply to the gallbladder is important for surgeon. METHODS Descriptive cross-sectional study was done from April 2008 to January 2010 in 180 adult specimens and 50 foetal specimens in the Departments of Anatomy, Forensic Medicine and Pathology in Government Medical College, Thiruvananthapuram. The abdominal wall was incised and hepatobiliary region was identified and dissected. The gallbladder and coeliac trunk were identified. Cystic artery and Calot’s triangle were studied. RESULTS More than 90 percent of the cystic artery originates from the right hepatic artery in both sexes. Cystic artery originated from left hepatic artery in 4 cases, common hepatic artery in 5 cases and from middle hepatic artery in 1 case. The cystic artery within Calot’s triangle was observed in 41 %. Right hepatic artery was content in 29.9 %. Both the arteries were content in 19 %. Cystic artery and accessory hepatic duct were content of Calot’s triangle in 2.2 %. Double cystic artery was content of the triangle in 1 cadaver. Artery or duct was seen outside the Calot’s triangle in 16 cadavers. CONCLUSIONS It is important for surgeons to know the variations of cystic artery and Calot’s triangle during surgical interventions of the hepato biliary region. “Cystic artery syndrome” is a condition where cystic artery is seen winding around cystic duct although it originates from right hepatic artery. Knowledge of these variations is important for surgeons and helps in better surgical outcome. KEYWORDS Cystic Artery, Calot’s Triangle, Right Hepatic, Gall Bladder, Coeliac Trunk


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