The Prevalence of Double Cystic Artery: A Cadaveric Study
Journal Title: GCSMC Journal of Medical Sciences - Year 2016, Vol 5, Issue 2
Abstract
Introduction: The cystic artery is main source of blood supply to gallbladder and cystic duct. The cystic artery usually arises from the right hepatic artery. It divides into superficial and deep branches at the neck of the gallbladder. The superficial branch ramifies on the inferior aspect of the gallbladder body, the deep branch on the superior aspect. The cystic artery gives rise to multiple fine branches which supply the common and lobar hepatic ducts and upper part of the common bile duct. Objective: The present study was conducted to find out the prevalence of double cystic arteries. The recognition of this variation is important to avoid intraoperative bleeding during cholecystectomy. Materials & Methods: The study was carried out on 100 adult human cadavers in different medical colleges of Gujarat region. The variations of present number of cystic artery were observed, if found then documented and photographed. Result: Out of 100 specimens in 12(12%) specimens present the double cystic arteries. Out of 12 specimens in 10 specimens the cystic artery arises from right hepatic artery and in 2 specimens cystic artery arises from segmental branch of right hepatic artery. Conclusion: This study is emphasis the importance of a thorough knowledge of anatomy and recognition of variations of cystic artery are essential prerequisites for safe and uneventful laparoscopic cholecystectomy and can reduce uncontrolled intraoperative hemorrhage and extrahepatic biliary injury.
Authors and Affiliations
Kiran Sidana, H R Jadav, Bharat G Patel
Keywords
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