Abstract
Introduction: The hepatic artery proper, the left branch of the hepatic artery, the celiac plexus, and the gastric duodenal artery can all exhibit variations in their origin points. Understanding these variances is crucial to preventing unintentional bleeding during laparoscopic cholecystectomy.
Objectives: To determine the prevalence of cystic artery anatomic changes during LC.
Study type: Cross-sectional
Setting: Department of Surgery, Services Hospital, Lahore.
Study duration: 29th June 2022 to 28th December 2022.
Materials & Methods: There were 180 patients, both male and female, between the ages of 18 and 60, who were having laparoscopic cholecystectomy because they had gallstones. Patients with gallbladder cancer, laparoscopic cholecystectomy, or stones in the CBD were not included. Number (single, double, absent), origin (right, left, gastroduodenal, and common hepatic arteries), length (short, medium, and long), and course (inferior to the cystic duct, anterior to the common bile duct, posterior to the cystic duct, and anterior to the common hepatic duct) were recorded for every patient.
Results: With origins from the right hepatic artery (85.56%), left hepatic artery (11.67%), GDA 0%, CHA 2.78%, and short length (20.56%), medium (46.11%), long (33.33%), crossing the cystic duct anteriorly (78.33%), posteriorly (13.33%), anterior to CHD 2.78%, and inferior to CD 5.56%, the most common anatomical findings in my study were single (90.0%), double (10.0%), and absent 0%.
Conclusion: According to the study's findings, anatomical changes in the cystic artery during laparoscopic cholecystectomy are very prevalent.