The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

Kamil Torres; Anna Torres; Andrzej Chrościcki; Grzegorz Staśkiewicz; Jan Kachaniuk; Łukasz Pietrzyk; Sebastian Radej; Marcello Ceccaroni; Andrzej Drop; Ryszard Maciejewski

doi:10.5114/wiitm.2011.23211

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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2/2011
vol. 6

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abstract:

Original paper

The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

Kamil Torres

,

Anna Torres

,

Andrzej Chrościcki

,

Grzegorz Staśkiewicz

,

Jan Kachaniuk

,

Łukasz Pietrzyk

,

Sebastian Radej

,

Marcello Ceccaroni

,

Andrzej Drop

,

Ryszard Maciejewski

Videosurgery and other miniinvasive techniques 2011; 6 (2): 57-63

DOI: https://doi.org/10.5114/wiitm.2011.23211

Online publish date: 2011/07/08

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AMA

Torres K, Torres A, Chrościcki A, et al. The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum. Videosurgery and Other Miniinvasive Techniques. 2011;6(2):57-63. doi:10.5114/wiitm.2011.23211.

APA

Torres, K., Torres, A., Chrościcki, A., Staśkiewicz, G., Kachaniuk, J.,  & Pietrzyk, Ł. et al. (2011). The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum. Videosurgery and Other Miniinvasive Techniques, 6(2), 57-63. https://doi.org/10.5114/wiitm.2011.23211

Chicago

Torres, Kamil, Anna Torres, Andrzej Chrościcki, Grzegorz Staśkiewicz, Jan Kachaniuk, Łukasz Pietrzyk,  and Sebastian Radej et al. 2011. "The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum". Videosurgery and Other Miniinvasive Techniques 6 (2): 57-63. doi:10.5114/wiitm.2011.23211.

Harvard

Torres, K., Torres, A., Chrościcki, A., Staśkiewicz, G., Kachaniuk, J., Pietrzyk, Ł., Radej, S., Ceccaroni, M., Drop, A.,  and Maciejewski, R. (2011). The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum. Videosurgery and Other Miniinvasive Techniques, 6(2), pp.57-63. https://doi.org/10.5114/wiitm.2011.23211

MLA

Torres, Kamil et al. "The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum." Videosurgery and Other Miniinvasive Techniques, vol. 6, no. 2, 2011, pp. 57-63. doi:10.5114/wiitm.2011.23211.

Vancouver

Torres K, Torres A, Chrościcki A, Staśkiewicz G, Kachaniuk J, Pietrzyk Ł et al. The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum. Videosurgery and Other Miniinvasive Techniques. 2011;6(2):57-63. doi:10.5114/wiitm.2011.23211.

PlumX metrics:

Introduction: Laparoscopic cholecystectomy is one of the most frequently performed procedures in surgical wards. Proper anatomical identification of structures within the triangle of Calot is essential for the procedure safety.

Aim: To evaluate demographic, clinical and anatomical characteristics of 84 patients who underwent laparoscopic cholecystectomies.

Material and methods: Anatomical characteristics of Calot’s triangle were correlated with body mass index, gender and age of patients as well as with time of the surgery, type of vascular ligation, presence of adhesions, postoperative bleeding, bile leakage and use of a harmonic scalpel. Additionally, patients’ demographic data were analysed and compared with data from other patients from Lublin’s state.

Results: Obtained anatomical relations of the cystic artery were classified into 2 groups. Group one had typical position of the cystic artery within Calot’s triangle. Variants were included in group two. Variants of cystic artery were observed more frequently in females.

Conclusions: We found that the classification of Skandalakis et al. was very detailed, but too complex to be implemented in everyday practice. Therefore we propose a simplified classification which could be used as a practical tool to determine the type of anatomical variation and preserve the safety of the procedure.

keywords:

The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

Kamil Torres , Anna Torres , Andrzej Chrościcki , Grzegorz Staśkiewicz , Jan Kachaniuk , Łukasz Pietrzyk , Sebastian Radej , Marcello Ceccaroni , Andrzej Drop , Ryszard Maciejewski

laparoscopy, carbon dioxide pneumoperitoneum, cholecystectomy, cystic artery, Calot’s triangle

Kamil Torres

,

Anna Torres

,

Andrzej Chrościcki

,

Grzegorz Staśkiewicz

,

Jan Kachaniuk

,

Łukasz Pietrzyk

,

Sebastian Radej

,

Marcello Ceccaroni

,

Andrzej Drop

,

Ryszard Maciejewski