Abstract

Cystic artery lymph node-is it a fixed important landmark during cholecystectomy?

Highlights

  • Cholecystectomy is one of the commonest major operations performed in Australia with more than 90% performed laparoscopically (LC) [1, 2]

  • Experts recommend dissection during laparoscopic cholecystectomy occur lateral to the cystic artery lymph node (LN)

  • We present a case of 3 cystic artery lymph nodes within the hepatobiliary triangle identified during laparoscopic cholecystectomy

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Summary

Introduction

Cholecystectomy is one of the commonest major operations performed in Australia with more than 90% performed laparoscopically (LC) [1, 2]. Experts recommend dissection during laparoscopic cholecystectomy occur lateral to the cystic artery lymph node (LN). The cystic artery lymph node, known as Lund’s Node and Mascagni’s Node, is typically identified as a single node superficial to the cystic artery and lateral to the bile duct [3]. We present a case of 3 cystic artery lymph nodes within the hepatobiliary triangle identified during laparoscopic cholecystectomy. The patient had no known clinical cause such an infection or systemic disease to explain to presence of 3 LNs. Histological appearance of the lymph node was not described as these were not excised

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