scholarly journals Is cystic artery lymph node excision during laparoscopic cholecystectomy a marker of technique?

2017 ◽  
Vol 88 (6) ◽  
pp. 630-634
Author(s):  
Arkadiusz P. Wysocki ◽  
Skyle Murphy ◽  
Robert S. Ware
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Lymph Node ◽  
Lymph Node Excision ◽  
Cystic Artery

scholarly journals Incidence of double cystic artery: a clinical study

2020 ◽  
Vol 7 (9) ◽  
pp. 2837
Author(s):  
Tamer Akay ◽  
Metin Leblebici
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Clinical Study ◽  
Cystic Artery ◽  
Indication For Operation ◽  
Biliary Injury ◽  
Intraoperative Bleeding ◽  
Duration Of Hospital Stay ◽  
Retrospective Clinical Study ◽  
The Mean ◽  
Bladder Polyp

Background: A successful laparoscopic cholecystectomy is associated with the knowledge about anatomic structures and the congenital anomaly of the biliary tract. The aim of this study was to become familiar with vascular variations in laparoscopic cholecystectomy.Methods: This was a retrospective clinical study. The files of patients who underwent laparoscopic cholecystectomy due to benign gallbladder diseases were analyzed. The characteristics and complications of the patients with double cystic artery were recorded and examined.Results: A total of 360 patients, 76 males and 284 females were included in the study. The mean age was 51.2 (25-81). When the files of the patients were examined, it was found that double cystic arteries were detected during the operation in two male (2.63%) and nine female patients (3.16%). Gall bladder polyp was found as an indication for operation in one of 11 patients, while multiple gallbladder stones were found as an indication for operation in the other patients. The laparoscopic cholecystectomy was converted to conventional cholecystectomy in two from 11 patients (18.1%) with double cystic arteries due to bleeding. The mean duration of hospital stay in the patients with double cystic artery is 5.2 (3-11) days, and (2.7 days) longer compared to the patients without a double cystic artery.Conclusions: Cystic artery variations and other variations can coexist. Awareness of cystic artery variations can reduce the possibility of uncontrolled intraoperative bleeding, extrahepatic biliary injury, and switching to conventional cholecystectomy. 

Gallbladder

2020 ◽  
pp. 111-124
Author(s):  
Jad M. Abdelsattar ◽  
Moustafa M. El Khatib ◽  
T. K. Pandian ◽  
Samuel J. Allen ◽  
David R. Farley
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Vagal Stimulation ◽  
Liver Parenchyma ◽  
Cystic Artery ◽  
Plain Radiographs

The endodermal diverticulum of the caudal foregut develops into the GB. The GB lies between liver segments 4B and 5 and is supplied by the cystic artery. Cholecystokinin and vagal stimulation result in GB contraction, delivering bile (synthesized in the liver) into the duodenum. More than 80% of gallstones (cholelithiasis) are of the cholesterol type. Porcelain GBs can be seen on plain radiographs. Unless GB cancer is suspected preoperatively, or dense adhesions are likely, laparoscopic cholecystectomy is the operation of choice. Injury to the CBD (0.5%), duodenum, and liver parenchyma is uncommon but is a serious complication.

Pattern of Colon Cancer Lymph Node Metastases in Patients Undergoing Central Mesocolic Lymph Node Excision

2016 ◽  
Vol 59 (12) ◽  
pp. 1209-1221 ◽  
Author(s):  
Claus A. Bertelsen ◽  
Anders Kirkegaard-Klitbo ◽  
Mingyuan Nielsen ◽  
Salvatore M. G. Leotta ◽  
Fukumori Daisuke ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
Lymph Node Excision ◽  
Node Metastases

Persistent postoperative pain and sensory changes following lymph node excision in melanoma patients

2014 ◽  
Vol 24 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Charlotte Slagelse ◽  
Karin L. Petersen ◽  
Jørgen B. Dahl ◽  
Kenneth Finnerup ◽  
Kaitlin Greene ◽  
...  
Keyword(s):  
Lymph Node ◽  
Postoperative Pain ◽  
Lymph Node Excision ◽  
Persistent Postoperative Pain ◽  
Melanoma Patients ◽  
Sensory Changes
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