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Anatomy Research International
Volume 2015, Article ID 847812, 3 pages
http://dx.doi.org/10.1155/2015/847812
Research Article

Artery to Cystic Duct: A Consistent Branch of Cystic Artery Seen in Laparoscopic Cholecystectomy

1Department of Health Services, Kashmir 190001, India
2Department of Surgery, Maulana Azad Medical College, New Delhi 110002, India
3Department of Community Medicine, Government Medical College, Srinagar 190010, India
4Department of Surgical Gastroenterology, KEM Hospital, Mumbai 400012, India

Received 31 May 2015; Revised 1 July 2015; Accepted 2 July 2015

Academic Editor: Levent Sarikcioglu

Copyright © 2015 Arshad Rashid et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct damage. Therefore, accurate identification of the anatomy of the cystic artery is very important. Cystic artery is notoriously known to have a highly variable branching pattern. We reviewed the anatomy of the cystic artery and its branch to cystic duct as seen through the video laparoscope. A single artery to cystic duct with the classical “H-configuration” was demonstrated in 161 (91.47%) patients. This branch may cause troublesome bleeding during laparoscopic dissection in the hepatobiliary triangle. Careful identification of artery to cystic duct is helpful in the proper dissection of Calot’s triangle as it reduces the chances of hemorrhage and thus may also be helpful in prevention of extrahepatic biliary radical injuries.