title: Artery to Cystic Duct: A Consistent Branch of Cystic Artery Seen in Laparoscopic Cholecystectomy.
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.
authors.affiliation: Department of Health Services, Kashmir 190001, India.
authors.forename: Arshad
authors.initials: A
authors.lastname: Rashid
authors.affiliation: Department of Health Services, Kashmir 190001, India.
authors.forename: Majid
authors.initials: M
authors.lastname: Mushtaque
authors.affiliation: Department of Surgery, Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Rajandeep Singh
authors.initials: RS
authors.lastname: Bali
authors.affiliation: Department of Community Medicine, Government Medical College, Srinagar 190010, India.
authors.forename: Saima
authors.initials: S
authors.lastname: Nazir
authors.affiliation: Department of Surgical Gastroenterology, KEM Hospital, Mumbai 400012, India.
authors.forename: Suhail
authors.initials: S
authors.lastname: Khuroo
authors.affiliation: Department of Health Services, Kashmir 190001, India.
authors.forename: Sheikh
authors.initials: S
authors.lastname: Ishaq