Nabeel Qamar, Saeed Ahmed, Muhammad Zubair, Naheed Sultan, Khalida Parveen.
Laparoscopic visualization of cystic artery variations and gender distribution in our population.
Pak J Surg Jan ;30(1):9-13.

Objective: To assess the frequency of Anatomical variations of Cystic Artery during laparoscopic surgery in gender groups in our population. Study design: Cross Sectional study. Place and Duration: Th is study was carried out at the department of Anatomy, Institute of Basic Medical Sciences (IBMS), Dow University of Health Sciences (DUHS) from September 2011 to April 2013. Methodology: Non probability, purposive sampling technique was used for sample collection. Th e samples were 300 diagnosed cases of Cholelithiasis, undergoing Laparoscopic Cholecystectomy in Civil Hospital Karachi (CHK), Dow University of Health Sciences and other hospitals of Karachi. Laparoscopic Cholecystectomy was performed under general anesthesia using the four port technique. Th e information of anatomy on endoscopic visualization was recorded by video recorder aft er taking the informed consent of the patient. Overall frequencies of cystic artery variations were assessed by using You Ming classifi cation system in gender groups. SPSS (version 16) was used in the analysis. Results: Overall frequencies of the variation of cystic artery were noted. Out of 300 cases, there were 79.0% (n=237) cases having normal anatomy of the cystic artery and 21% (n= 63) cases had anatomical variations. Female to male ratio of these variations was 1:1 showing evenly distribution in both genders. Conclusion: Signifi cant variability in the Anatomy of cystic artery was seen in our study. Th e frequencies of these variations are not very high but evenly distributed in the gender groups. Surgeons can come across any of these variations and thorough knowledge of laparoscopic anatomy of cystic artery variation is required for the safe laparoscopic cholecystectomy.

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