scholarly journals The influence of anatomical variations of the cystic artery inside Calot’s triangle on the surgical procedure in patients with carbon dioxide pneumoperitoneum

2011 ◽  
Vol 2 ◽  
pp. 57-63
Author(s):  
Kamil Torres ◽  
Anna Torres ◽  
Andrzej Chrościcki ◽  
Grzegorz Staśkiewicz ◽  
Jan Kachaniuk ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Surgical Procedure ◽  
Anatomical Variations ◽  
Cystic Artery ◽  
Carbon Dioxide Pneumoperitoneum ◽  
Calot’S Triangle

scholarly journals Factors affecting conversion of laparoscopic to open cholecystectomy

2017 ◽  
Vol 20 (1) ◽  
pp. 13-16
Author(s):  
Raj Kumar Chhetri ◽  
Muza Shrestha ◽  
Ram Prasad Shrestha
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Analytical Study ◽  
Open Cholecystectomy ◽  
Anatomical Variations ◽  
Cystic Artery ◽  
Factors Affecting ◽  
Calot’S Triangle ◽  
Bile Duct Injuries ◽  
Standard Operation ◽  
Conversion To Open Cholecystectomy

Introduction: Laparoscopic cholecystectomy is the gold-standard operation for the treatment of cholelithiasis. Various factors affect the conversion of laparoscopic to open cholecystectomy. Methods: In this prospective analytical study one hundred and sixty consecutive patients who underwent laparoscopic cholecystectomy were studied to see the factors that affect the conversion to open cholecystectomy. Factors contributing to conversion of laparoscopic to open cholecystectomy were analyzed. Result: In this study the conversion rate of laparoscopic to open cholecystectomy was 6.25%. The most common cause for conversion was unclear anatomy and adhesion at the Calot’s triangle and abnormal course of the cystic artery. Conclusion: Proper knowledge about the anatomical variations of cystic duct and artery and timely conversion in cases of confusion can help prevent bile duct injuries during cholecystectomy.

scholarly journals Anatomical variations in the extra hepatic biliary system: a cross sectional study

2018 ◽  
Vol 6 (4) ◽  
pp. 1342 ◽  
Author(s):  
P. G. Anandhi ◽  
V. N. Alagavenkatesan
Keyword(s):  
Hepatic Duct ◽  
Indian Subcontinent ◽  
Anatomical Variations ◽  
Cystic Artery ◽  
Biliary System ◽  
Common Hepatic Duct ◽  
Post Mortem ◽  
Cross Sectional ◽  
Calot’S Triangle ◽  
The Common

Background: The anatomy of the biliary system has been the subject of extended research for many years. Largely because of their surgical importance in cholecystectomies and the ease with which they may be studied. Though, interest has been focused on the extrahepatic bile ducts very few studies have been carried out in the Indian subcontinent. Objectives was to study the anatomical variations in extrahepatic biliary system in sample of Indian cadaveric specimens.Methods: The study material consisted of 20 adult dissection room cadavers and 30 enbloc post-mortem specimens. Cadaver specimens were studied from dissection room. Post-mortem enbloc specimens were collected from the Department of Forensic Medicine, Madurai Medical College, Madurai. They were studied by conventional dissection method.Results: The key abnormalities found in all bladder were Hartman's pouch shape and neck in 2 (4%) subjects each. Gallstones were present in 2 (4%) subject. The length of the common Bile duct was ranging from as short as 6.5 cm in 24% of the subjects to 9cm in 4% of the subjects. High level of the cystic duct union with the common hepatic duct was noted in16% of specimens and in remaining 2% it was low union. Abnormal arrangement of structures in hepatoduodenal duct was normal in 98% but was abnormal in 2% of subjects. A total of 14% of the specimens had accessory ducts. Double and accessory cystic artery was found in 2% of the subjects each.  In 8% of the subjects, cystic artery had abnormal course and division. The right hepatic artery was had shown abnormal course and division in 4% of the subjects. Abnormal boundaries of Calot’s triangle was found in 2% of the subjects. Abnormal contents of Calot’s triangle include Accessory hepatic ducts in 10% of subjects.Conclusions: Anatomical variations of the extrahepatic biliary system are very common and a through an understanding of them is essential for surgeons to avoid damage to vital structures during surgical procedures and better surgical outcomes.

964: Direct Visualization of Renal Hemodyanamics Affected by Carbon Dioxide Pneumoperitoneum

2007 ◽  
Vol 177 (4S) ◽  
pp. 319-319
Author(s):  
Naoto Sassa ◽  
Ryohei Hattori ◽  
Yoshinari Ono ◽  
Tokunori Yamamoto ◽  
Momokazu Gotoh
Keyword(s):  
Carbon Dioxide ◽  
Direct Visualization ◽  
Carbon Dioxide Pneumoperitoneum

Carbon dioxide pneumoperitoneum reduces levels of TNF-a mRNA in the brain, liver, and peritoneum in mice

2001 ◽  
Vol 15 (6) ◽  
pp. 609-613 ◽  
Author(s):  
H. Kamei ◽  
S. Yoshida ◽  
K. Yamasaki ◽  
T. Tajiri ◽  
K. Shirouzu
Keyword(s):  
Carbon Dioxide ◽  
Carbon Dioxide Pneumoperitoneum ◽  
The Brain

Hypercarbia during carbon dioxide pneumoperitoneum

1992 ◽  
Vol 163 (1) ◽  
pp. 186-190 ◽  
Author(s):  
Stephen D. Fitzgerald ◽  
Charles H. Andrus ◽  
Lawrence J. Baudendistel ◽  
Thomas E. Dahms ◽  
Donald L. Kaminski
Keyword(s):  
Carbon Dioxide ◽  
Carbon Dioxide Pneumoperitoneum

Electron-Microscopic Alterations of the Peritoneum after Both Cold and Heated Carbon Dioxide Pneumoperitoneum

2005 ◽  
Vol 125 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Mehmet Erikoglu ◽  
Serdar Yol ◽  
Mustafa Cihat Avunduk ◽  
Esra Erdemli ◽  
Alp Can
Keyword(s):  
Carbon Dioxide ◽  
Electron Microscopic ◽  
Carbon Dioxide Pneumoperitoneum

scholarly journals Correction to: Effects of different sufentanil target concentrations on the MACBAR of sevoflurane in patients with carbon dioxide pneumoperitoneum stimulus

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yanxia Guo ◽  
Dan Wang ◽  
Xiaolin Yang ◽  
Pingping Jiang ◽  
Juan Xu ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Carbon Dioxide Pneumoperitoneum

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Pneumoperitoneum in Veterinary Laparoscopy: A Review

2020 ◽  
Vol 7 (2) ◽  
pp. 64
Author(s):  
Jacqueline Scott ◽  
Ameet Singh ◽  
Alexander Valverde
Keyword(s):  
Carbon Dioxide ◽  
Sample Population ◽  
Carbon Dioxide Insufflation ◽  
Gasless Laparoscopy ◽  
Carbon Dioxide Pneumoperitoneum ◽  
Working Space ◽  
Co2 Insufflation ◽  
Post Operative Pain ◽  
Electronic Database Search ◽  
Alternative Techniques

Objective: To review the effects of carbon dioxide pneumoperitoneum during laparoscopy, evaluate alternative techniques to establishing a working space and compare this to current recommendations in veterinary surgery. Study Design: Literature review. Sample Population: 92 peer-reviewed articles. Methods: An electronic database search identified human and veterinary literature on the effects of pneumoperitoneum (carbon dioxide insufflation for laparoscopy) and alternatives with a focus on adaptation to the veterinary field. Results: Laparoscopy is the preferred surgical approach for many human and several veterinary procedures due to the lower morbidity associated with minimally invasive surgery, compared to laparotomy. The establishment of a pneumoperitoneum with a gas most commonly facilitates a working space. Carbon dioxide is the preferred gas for insufflation as it is inert, inexpensive, noncombustible, colorless, excreted by the lungs and highly soluble in water. Detrimental side effects such as acidosis, hypercapnia, reduction in cardiac output, decreased pulmonary compliance, hypothermia and post-operative pain have been associated with a pneumoperitoneum established with CO2 insufflation. As such alternatives have been suggested such as helium, nitrous oxide, warmed and humidified carbon dioxide and gasless laparoscopy. None of these alternatives have found a consistent benefit over standard carbon dioxide insufflation. Conclusions: The physiologic alterations seen with CO2 insufflation at the current recommended intra-abdominal pressures are mild and of transient duration. Clinical Significance: The current recommendations in veterinary laparoscopy for a pneumoperitoneum using carbon dioxide appear to be safe and effective.

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