{"id":2392,"date":"2020-11-09T15:12:54","date_gmt":"2020-11-09T15:12:54","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2392"},"modified":"2020-11-09T15:12:54","modified_gmt":"2020-11-09T15:12:54","slug":"ijar-2020-223","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-223","title":{"rendered":"IJAR.2020.223"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.8.4\/IJAR.2020.223.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-8-4.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 4.1 (November 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 7788-7793<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2020.223<\/h3>\n<h3 style=\"text-align: justify;\">THE CYSTIC ARTERY: AN OBSERVATIONAL STUDY AND CLINICAL SIGNIFICANCE OF ITS VARIANTS<\/h3>\n<p style=\"text-align: justify;\"><strong>Shilpa <sup>1<\/sup>, D. Saxena *<sup>2<\/sup>, Shabina <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1,3<\/sup> PhD scholar, Department of Anatomy, S.M.S. Medical College &amp; Hospital, Jaipur (Rajasthan), India.<\/p>\n<p style=\"text-align: justify;\"><sup>*2 <\/sup>Professor, S.M.S. Medical College &amp; Hospital, Jaipur, (Rajasthan), India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr. Dhiraj Saxena, Professor, Department of Anatomy, S.M.S. medical college and hospitals, (Rajasthan), India-302004. Contact no. \u2013 8076026920\u00a0<strong>E-Mail:<\/strong> shilpakayamkhani@gmail.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Cystic artery variations are frequent and important for invasive as well as invasive procedure around the hepatibiliary area. Variation can be in term of origin, course and termination of CA.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim: <\/strong>Aim was to identify new type of Cystic arterial variation in term of origin, no. of CA, and termination and surgical implications of these variations.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods:<\/strong> Study was carried out at department of anatomy, S.M.S Medical college and hospitals Jaipur (Raj). Total 60 cadaver were included in the study. Ethical clearance was taken for the same. Subjects with history of abdominal surgery around Hepatobiliary area were excluded.<\/p>\n<p style=\"text-align: justify;\"><strong>Result: <\/strong>Source of origin of SCA was RHA (majority of cases), Aberrant RHA, SMA, HAP. DCA was observed in 13.34% cases. Accessory CA arose from RHA, ARHA, HAP, PSPD. Compound DCA was observed in 5% cases. Longer CA was observed in the study.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>Variation related to CA are essential to keep in mind while dealing with Hepatobiliary area during invasive and non invasive procedures as well.<\/p>\n<p style=\"text-align: justify;\"><strong>Key wordS:<\/strong> Cystic, Hepatobiliary, Cystic arterial variation.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Dandekar U, Dandekar K.Cystic Artery: Morphological Study and Surgical Significance Anatomy Research International Volume. 2016;Article ID 7201858. 6 pages<br \/>\nhttps:\/\/doi.org\/10.1155\/2016\/7201858<br \/>\nPMid:27822387 PMCid:PMC5086348<br \/>\n[2]. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 1994;220(1):50-52.<br \/>\nhttps:\/\/doi.org\/10.1097\/00000658-199407000-00008<br \/>\nPMid:8024358 PMCid:PMC1234286<br \/>\n[3]. A. K. Sarkar and T. S. Roy.Anatomy of the cystic artery arising from the gastroduodenal artery and its choledochal branch- a case report. J. Anat.2000;197(3):503-506.<br \/>\nhttps:\/\/doi.org\/10.1046\/j.1469-7580.2000.19730503.x<br \/>\nPMid:11117634 PMCid:PMC1468149<br \/>\n[4]. Michel NA.: Variational anatomy of the hepatic, cystic and retroduodenal arteries; statistical analysis of their origin, distribution and relations to the biliary ducts in 200 bodies. Arch. Surg.1953;66:20.<br \/>\nhttps:\/\/doi.org\/10.1001\/archsurg.1953.01260030031003<br \/>\nPMid:12996197<br \/>\n[5]. Bhanasali SK. Extra-heptic biliary tree. In editors: Hai AA, Shrivastava RB. Textbook of surgery. Tata McGraw Hill Publishing Company, New Delhi, 2003. p. 554<br \/>\n[6]. Haythem A. Al-Sayigh.The Incidence of Cystic Artery Variation during Laparoscopic Surgery. Med J Babylon.2010;7:389-403.<br \/>\n[7]. Gupta RL. The gallbladder and bile duct: Text book of surgery. 2nd ed. Jaypee Brothers Medical Publishers (P) Ltd, New Delhi.2003:755.<br \/>\n[8]. Ramakrishna R,Tiwari S. Cystic Artery: An Anatomic Morphological Study and Its Clinical Significance Natl J Clin Anat. 2019;8:10-13.<br \/>\nhttps:\/\/doi.org\/10.1055\/s-0039-1688516<br \/>\n[9]. Andall, R.G., Matusz, P., du Plessis, M. et al. The clinical anatomy of cystic artery variations: a review of over 9800 cases. Surg Radiol Anat .2016;38:529-539.<br \/>\nhttps:\/\/doi.org\/10.1007\/s00276-015-1600-y<br \/>\nPMid:26698600<br \/>\n[10]. Daseler EH, Anson BJ, Hambley WD, Reimann AF. The cystic artery and constituents of the hepatic pedicle: a study of 500 specimens. Surg Gynecol Obstet.1947;85(1):47-63.<br \/>\n[11]. Sing&#8217;ombe I.,Nambule V., Mutalif F., Mutemwa S.et al. cadaveric study on variations of the cystic artery in the department of pathology, at the university teaching hospitals, lusaka, Zambia.Anatomy Journal of Africa. 2019;8(1):1438-1443.<br \/>\n[12]. Hugh T. B., Kelly M. D., Li B. Laparoscopic anatomy of the cystic artery. Am.J.Surg. . 1992;163(6):593-595.<br \/>\nhttps:\/\/doi.org\/10.1016\/0002-9610(92)90564-8<br \/>\n[13]. Flisinski P, Szpinda M, Flisinski M. The cystic artery in human foetuses. Folia Morphol.2004; 63(1):47-50.<br \/>\n[14]. Kankhare Sonali B, Patil Anjali D, Kate Sarika P. A study of an anomalous origin of cystic artery and its relation with calot&#8217;s triangle &#8211; cadaveric study. Int J Cur Res Rev 2016;8(15):39-42.<br \/>\n[15]. Pushpalatha K., Shamasundar N. M. Variation in the origin of cystic artery. Journal of Anatomical Society of India. 2010;59(1):35-37.<br \/>\nhttps:\/\/doi.org\/10.1016\/S0003-2778(10)80009-7<br \/>\n[16]. Zubair M,Habib L, Mirza MR,Channa MA, Yousuf M et al.Anatomical Variations Of Cystic Artery: Telescopic facts. Med J Malaysia.2012;67(5) :494-96.<br \/>\n[17]. Taimur M, Hasan A, Ullah S, Masood R, Imran M. Vascular variations in the Calot&#8217;s triangle seen on laparoscopic cholecystectomy. Pak Armed Forces Med J 2011;61(4):16-20.<br \/>\n[18]. Marniok B, Mikusek J,Wiewi M et al.Anatomical variations of cystic duct and artery in direct preparations. Med Sci Monit.1999; 5(3): 395-398.<br \/>\n[19]. Polguj M, Podgo&#8217;rski M, Hogendorf P,Topol M.Variations of the hepatobiliary vasculature including coexistence of accessory right hepatic artery with unusually arising double cystic arteries: case report and literature review.Anat Sci Int. 2014; 89:195-198.<br \/>\nhttps:\/\/doi.org\/10.1007\/s12565-013-0219-5<br \/>\nPMid:24310410 PMCid:PMC4015057<br \/>\n[20]. Balija M, Huis M, Nikolic V, Stulhofer M .Laparoscopic visualization of the cystic artery anatomy. World J Surg.1999; 23:703-707.<br \/>\nhttps:\/\/doi.org\/10.1007\/PL00012372<br \/>\nPMid:10390590<br \/>\n[21]. Qamar N, Ishaque I, Ilyas A, Parveen K, Zubair M, Ahmad S. Identification of cystic duct variations in laparoscopic visual field. Pak J Surg. 2016;32(2):96-99.<br \/>\n[22]. Suzuki M, Akaishi S, Rikiyama T, Naitoh T,Rahman MM, Matsuno S. Laproscopic cholecystectomy, Calot&#8217;s triangle, and Variations in cystic arterial supply. Surg. Endosc.2000;14:141-4.<br \/>\nhttps:\/\/doi.org\/10.1007\/s004649900086<br \/>\nPMid:10656947<br \/>\n[23]. DingYM, WangB, WangWX,Wang P, Ya JS. New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy. World J Gastroenterol .2007; 13(42): 5629-5634.<br \/>\nhttps:\/\/doi.org\/10.3748\/wjg.v13.i42.5629<br \/>\nPMid:17948938 PMCid:PMC4172743<br \/>\n[24]. Singh H, Singh NK, Kaul RK, Gupta A. Prevalence of anatomical variations of cystic artery during laparoscopic cholecystectomy. Int Surg J. 2019;6(10):3781-3785.<br \/>\nhttps:\/\/doi.org\/10.18203\/2349-2902.isj20194441<br \/>\n[25]. C. Antonetti and F. Diaz.Arteria c&#8217;\u0131stica: consideraciones anatomicas. RFM.2007;30(1):80-89.<br \/>\n[26]. Singh K, Singh R, Kaur M. Clinical reappraisal of vasculobiliary anatomy relevant to laparoscopic cholecystectomy. J Min Access Surg 2017;13:273-9.<br \/>\nhttps:\/\/doi.org\/10.4103\/jmas.JMAS_268_16<br \/>\nPMid:28872096 PMCid:PMC5607794<br \/>\n[27]. Bincy MG, Somayaji SN.Multiple variations of the subhepatic hepatobiliary vasculature porta. Int J Anat Var.2010; 3:39-40.<br \/>\n[28]. Dolen\u0161ek J. Triple arterial blood supply to the liver and double cystic arteries: A case report.Folia morphologica 2015;76(3):523-26.<br \/>\nhttps:\/\/doi.org\/10.5603\/FM.a2017.0008<br \/>\nPMid:28150275<br \/>\n[29]. Loukas M, Fergurson A, Louis RG Jr, Colborn GL. Multiple variations of the hepatobiliary vasculature including double cystic arteries, accessory left hepatic artery and hepatosplenic trunk: a case report. Surg Radiol Anat.2006;28:525-28.<br \/>\nhttps:\/\/doi.org\/10.1007\/s00276-006-0138-4<br \/>\nPMid:17006621<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Shilpa, D. Saxena, Shabina. THE CYSTIC ARTERY: AN OBSERVATIONAL STUDY AND CLINICAL SIGNIFICANCE OF ITS VARIANTS. Int J Anat Res 2020;8(4.1):7788-7793. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2020.223\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 8; Issue 4.1 (November 2020) Page No.: 7788-7793 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2020.223 THE CYSTIC ARTERY: AN OBSERVATIONAL STUDY AND CLINICAL SIGNIFICANCE OF ITS VARIANTS Shilpa 1, D. Saxena *2, Shabina 3. 1,3 PhD scholar, Department of Anatomy, S.M.S. Medical College &amp; Hospital, Jaipur (Rajasthan), India. *2 Professor, S.M.S. Medical College &amp; Hospital,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-223\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2392"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2392"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2392\/revisions"}],"predecessor-version":[{"id":2406,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2392\/revisions\/2406"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}