Cystic Vein and its Clinical Significance
DOI:
https://doi.org/10.53555/bp.v5i12.1174Keywords:
open cholecystectomy, cystic vein, bile duct injuryAbstract
Background: The main complications of the cholecystectomy are injury and bleeding. the knowledge of the presence of cystic vein as an anatomic landmark is important to distinguish between cystic duct and common hepatic duct, thus decreasing the iatrogenic injury of bile duct and bleeding during the open and laparoscopic cholecystectomy. The aim of study was to observe the calot’s triangle for the presence and number of cystic vein, a specific anatomic landmark that can help surgeons to perform safe cholecystectomy.
Methods: This is an observational descriptive study was performed from (May 2019) to (November 2019) through 100 patients who underwent open cholecystectomy at nangarhar regional hospital, in Jalalabad city of Nanagarhar province Afghanistan. The presence and number of cystic vein in calot’s triangle was evaluated.
Results: The relationship between the cystic vein and the calot’s triangle was identified in 91 (91%). One cystic vein was found in 21(23.07%) patients, while multiple cystic veins were found in 70 (76.9%) patients. All these veins were over the cystic- common bile duct junction.
Conclusion: The cystic vein and their relationship with cystic duct and cystic artery in calot triangle can use safely as anatomic landmark to prevent the bleeding and CHD/CBD injury.
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