Evidence map›Paper›PMID 25940813›Full record

ArticleSurgical and radiologic anatomy : SRA2015

Assessment and classification of cystic arteries with 64-detector row computed tomography before laparoscopic cholecystectomy.

Jindong Xia, Zaixian Zhang, Yao He, Jiao Qu, Jia Yang

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Article in Surgical and radiologic anatomy : SRA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Jindong XiaDepartment of Radiology, Shanghai Songjiang Central Hospital, Shanghai, 201699, People's Republic of China. xiajd_21@163.com.
Zaixian ZhangDepartment of Radiology, School of Medicine, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, 200080, People's Republic of China. befate@126.com.
Yao HeDepartment of Radiology, Shanghai Songjiang Central Hospital, Shanghai, 201699, People's Republic of China. huryoung@163.com.
Jiao QuDepartment of Radiology, Shanghai Songjiang Central Hospital, Shanghai, 201699, People's Republic of China. qujiao2000@163.com.
Jia YangDepartment of Radiology, School of Medicine, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, 200080, People's Republic of China. jiayoung@foxmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMajor complications of laparoscopic cholecystectomy are bleeding and bile duct injury, and it is necessary to clearly identify structures endoscopically to keep bleeding and injury from occurring. The aim of this study was to depict the anatomical variation between cystic arteries among patients using 64-detector row spiral computed tomography (CT) prior to laparoscopic cholecystectomy.

methodsA total of 78 patients (31 men, 47 women) who underwent cholecystectomy were examined preoperatively using 64-detector row spiral CT between April 2012 and June 2013. The origin and number of cystic arteries and their relationship with the Calot triangle was evaluated by two independent observers. CT images were compared with laparoscopic cholecystectomy results.

resultsThe cystic arteries were delineated by CT in 73 of the 78 patients. The relationship between the cystic arteries and the Calot triangle was identified in 71 of the 78 patients. One cystic artery was found in 53 (73%) of the 73 patients, while two cystic arteries were found in 20 (27%) of the patients. A total of 55 (60%) of the 91 cystic arteries passed through the Calot triangle. The remaining 36 cystic arteries (40%) passed anterior, posterior, or inferior to the cystic duct. The relationship between the cystic arteries and the Calot triangle detected by CT was in agreement with the surgical records for all patients.

conclusionThe configuration of the cystic arteries and their relationship with the Calot triangle can be identified using 64-detector row CT before laparoscopic cholecystectomy.

Indexed as

Cholecystectomy, LaparoscopicCholecystographyTomography, X-Ray ComputedAdultAgedFemaleGallbladderHumansIntraoperative ComplicationsMaleMiddle AgedPreoperative CareCalot triangleCystic arteryLaparoscopic cholecystectomySpiral computed tomography

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.