TY - JOUR AU - Tariq Nawaz, Maryam Barkat, Muhammad Atif, Qasim Ali, PY - 2017/12/30 Y2 - 2024/03/28 TI - Vascular Surprises in Calot’s Triangle during Laproscopic Choleystectomy JF - Journal of Rawalpindi Medical College JA - JRMC VL - 21 IS - 4 SE - Articles DO - UR - https://journalrmc.com/index.php/JRMC/article/view/808 SP - AB - <p><strong>Background</strong><strong>: To identify the vascular anomalies,variations of Calot’s triangle during laparoscopic cholecystectomy</strong><strong>&nbsp;</strong></p><p><strong>Methods</strong><strong>:</strong><strong>&nbsp; In this prospective observational study one thousand patients with a diagnosis of cholithiasis were included. Exclusion criteria were patients younger than 12 years and older than 80 year.&nbsp; Calot’s triangle dissection was done meticulously.Cystic artery and hepatic artery anomalies and variations were observed and analyzed on SPSS 21.&nbsp;&nbsp;</strong></p><p><strong>Results:</strong><strong>&nbsp;The age varied from 12 to 80 years. On the basis of distributional variation the cystic artery was single in 90% cases, branched in 7% cases and absent in 3% cases. On positional variations the cystic artery was superomedial to the cystic duct in 85% cases, anterior in 7% cases, and posterior in 3% cases and low lying in 5% of the cases. On the basis of length variation results showed that 80% cases had a normal cystic artery .A short cystic artery was found in 5% cases and a long cystic artery was present in 5%. Other arterial variations are of hepatic artery i.eMoynihan’s Hump (3%) and right hepatic artery present in Calots triangle in 5%</strong></p><p><strong>Conclusions:</strong><strong>&nbsp; For the safety of laparoscopic cholecystectomy one should be well aware of the anatomical variations of the cystic and hepatic artery</strong></p> ER -