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. 2005 Jun;1(2):53-8.
doi: 10.4103/0972-9941.16527.

Anatomy relevant to cholecystectomy

Sanjay Nagral  1
Affiliations

Anatomy relevant to cholecystectomy

Sanjay Nagral. J Minim Access Surg. 2005 Jun.

Abstract

This review discusses anatomical facts that are of relevance to the performance of a safe cholecystectomy. Misinterpretation of normal anatomy and anatomical variations contribute to the occurrence of major postoperative complications like biliary injuries following a cholecystectomy, the incidence being higher with laparoscopic cholecystectomy. A look at the basic anatomy is therefore important for biliary and minimally invasive surgeons. This includes normal anatomy and variations of the biliary apparatus as well as the arterial supply to the gallbladder. Specific anatomical distortions due to the laparoscopic technique, their contribution in producing injury and a preventive strategy based on this understanding are discussed. Investigative modalities that may help in assessing anatomy are considered. Newer insights into the role of anatomic illusions as well as the role of a system-based approach to preventing injuries is also discussed.

Keywords: Anatomy; Biliary; Cholecystectomy; Gallbladder; Injury; Laparoscopy.

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Figures

Figure 1
Figure 1
Modes of union of cystic duct with bile duct
Figure 2
Figure 2
Anterior and posterior branches of the cystic artery
Figure 3
Figure 3
Some variations of the arterial supply to the gallbladder
Figure 4
Figure 4
Accessory bile ducts relevant to cholecystectomy
Figure 5
Figure 5
Calot's triangle
Figure 6
Figure 6
Rouviere's sulcus
Figure 7
Figure 7
The critical view or safety window
See this image and copyright information in PMC

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