7] This means full dissection of Calot's triangle, cystic plate exposure, and the entrance of only two structures (the cystic artery
and CD) into the gallbladder before ligation of any ductal structures.
The gall bladder bed was thoroughly irrigated and cleaned taking extreme care not to dislodge the clips that were placed on the cystic artery
and cystic duct.
The causes and precipitating factors for gallbladder torsion are sudden body movement, blunt abdominal trauma, vigorous peristalsis of the adjacent viscera, cholelithiasis with acute dilatation of the gallbladder, atherosclerosis of the cystic artery
, kyphoscoliosis, loss of elastic tissue, visceroptosis, liver atrophy, loss of visceral fat and elasticity, and thin patients(1,3).
After dissection of the cystic artery
and cystic duct, endoclips were applied to facilitate transection of both.
Bleeding from cystic artery
was seen in 5 cases (10% females), complicating 1.
In the routine dissection of 34 year old male cadaver, we observed a case of the cystic artery
(CA) having an origin from the gastroduodenal artery ( GDA) 2.
he responded that "it would be to identify the cystic duct and the cystic artery
, [and] to clip and divide the cystic duct and cystic artery
Also, they used a 5-mm clip applier on the cystic artery
and duct and a 5-mm 30[degrees] laparoscope through the epigastric port.
When we place the clip on the cystic duct, we do place a clip on the cystic artery
, but not during initial dissection,'" he added.
This allows the cystic duct, the cystic artery
, and the common bile duct to be seen.
The main reason for blood loss in LC group is the slippage of the clip applied to the cystic artery
and from the gall bladder bed.
The cystic artery
and cystic duct were ligated with clips after the cystic duct, the common hepatic duct, and the common hepatic duct were identified [Figure 1].
This variant is a true left-sided gallbladder in which the cystic artery
always crosses in front of the CBD from right to left.
Although cholecystitis is the most common cause of cystic artery
aneurysms (1,2,3,4,5,6,7) a review published in 2007(3) identified only 15 cases with this complication.
The most proximal of the three branches mentioned above, supplies the cystic artery
and terminal branches for the right lateral and medial lobes; the intermediate one emits other cystic artery
and branches for the quadrate, left medial and lateral lobes.