Ligation Of Cystic Artery Research Articles

Anatomical Classification of Caterpillar Hump of RHA and its Surgical Importance (Nagpur Classification)

Background:Ligation of cystic artery is important surgical step involving gallbladder and hepatobiliary surgery. Right hepatic artery may come very close to gallbladder & cystic duct and CHD in the form of Caterpillar hump or Moynihan hump. Such hump has variations in position and depending on hump type, cystic artery anatomy is defined. In this situation right hepatic artery is liable to be mistakenly identified as cystic artery and it will be ligated prior to Cholecystectomy leading to right functional lobe of liver goes for necrosis. By defining types, increasing surgeon’s awareness, surgical complications will be reduced.

Anatomical classification of catterpillar hump of RHA and its surgical importance

Ligation of cystic artery is important surgical step involving gallbladder and hepatobiliary surgery. Right hepatic artery may come very close to gallbladder & cystic duct and CHD in the form of “Caterpillar hump or Moynihan hump’’. Such hump has variations in position and depending on hump type, cystic artery anatomy is defined. In this situation right hepatic artery is liable to be mistakenly identified as cystic artery and it will be ligated prior to Cholecystectomy leading to right functional lobe of liver goes for necrosis. By defining types, increasing surgeon’s awareness, surgical complications will be reduced

Fundus First Method with Catgut Loop for Ligation of Cystic Artery and Duct Stump: An Alternative Technique to Conversion in Difficult Laparoscopic Cholecystectomy

Fundus First Method with Catgut Loop for Ligation of Cystic Artery and Duct Stump: An Alternative Technique to Conversion in Difficult Laparoscopic Cholecystectomy

Pseudoaneurysm of the cystic artery: a rare cause of hemobilia

Aneurysms are a rare cause of hemobilia, and usually involved are branches of the hepatic and gastro-duodenal arteries. A case of a patient with hemobilia secondary to a pseudoaneurysm of the cystic artery is presented. Fewer than 10 cases have been reported in the literature, and in all of them the condition was associated with inflammation of the gall bladder, as in our case. Selective hepatic angiography is the procedure of choice for diagnosis. Upper gastrointestinal endoscopy with side-viewing scopy can demonstrate bleeding from papilla. Color-Doppler ultrasonography also may prove to be useful in equivocal cases. Cholecystectomy and ligation of cystic artery with proximal control of the hepatic artery was done at laparotomy after diagnosis was made.

Pseudoaneurysm of the cystic artery: a rare cause of hemobilia

Aneurysms are a rare cause of hemobilia, and usually involved are branches of the hepatic and gastro-duodenal arteries. A case of a patient with hemobilia secondary to a pseudoaneurysm of the cystic artery is presented. Fewer than 10 cases have been reported in the literature, and in all of them the condition was associated with inflammation of the gall bladder, as in our case. Selective hepatic angiography is the procedure of choice for diagnosis. Upper gastrointestinal endoscopy with side-viewing scopy can demonstrate bleeding from papilla. Color-Doppler ultrasonography also may prove to be useful in equivocal cases. Cholecystectomy and ligation of cystic artery with proximal control of the hepatic artery was done at laparotomy after diagnosis was made.