{"id":2558,"date":"2021-12-05T03:56:13","date_gmt":"2021-12-05T03:56:13","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2558"},"modified":"2021-12-05T03:56:13","modified_gmt":"2021-12-05T03:56:13","slug":"ijar-2021-167","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2021-167","title":{"rendered":"IJAR.2021.167"},"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.9.4\/IJAR.2021.167.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-9-4.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 9; Issue 4 (December 2021)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 8120-8126<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2021.167<\/h3>\n<h3 style=\"text-align: justify;\">Variations of Cystic Duct and Its Clinical Significance<\/h3>\n<p><strong>K. Sangameswaran *.<\/strong><\/p>\n<p style=\"text-align: justify;\">Associate Professor, Department of Anatomy, Government Tiruvannamalai Medical College, Tiruvannamalai, Tamilnadu, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr.K.Sangameswaran. M.S ,\u00a0 Associate professor, Department of Anatomy, Government Tiruvannamalai Medical College, Tiruvannamalai, Tamilnadu, India.\u00a0<strong>E-Mail: <\/strong>drsangames@gmail.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Cystic duct drains the bile from the gallbladder into the common bile duct. Gallstone disease is one of the most common problems affecting the digestive tract and may lead to many complications. To avoid the complications in these patients the gallbladder is removed surgically (Cholecystectomy). Ligation of cystic duct and cystic artery is a prerequisite procedure when cholecystectomy is done. Understanding about the normal anatomy &amp; the possible variations in biliary ductal system is important for the surgeons for doing cholecystectomy surgery successfully. Errors during gallbladder surgery commonly result from failure to appreciate the common variations in the anatomy of the biliary system.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim of the study:<\/strong> To find out the incidence of variations in the length, course, and termination of cystic duct in cadavers.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods:<\/strong> Present study was done in 50 adult cadavers in the Department of Anatomy, Government Tiruvannamalai medical college, Tamilnadu. Meticulous dissection was done in the hepatobiliary system of these cadavers.<\/p>\n<p style=\"text-align: justify;\"><strong>Observations:<\/strong> During the study variations in the length of cystic duct, course and different modes of insertion of cystic duct were observed.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> Knowledge of variations in the length of cystic duct and knowing about different modes of course &amp; insertion of cystic duct is necessary for surgeons while conducting cholecystectomy. The risk of iatrogenic injury is especially high in cases where the biliary anatomy is misidentified prior to surgery.\u00a0<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS:<\/strong> Cystic duct, Gallbladder, Cholecystectomy.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Gray\u2019s anatomy, Anatomical basis of clinical practice, 40th edition,2008; p.1178.<br \/>[2]. Keith L Moore, Clinically oriented anatomy, 8th edition, 2018; pp.1198-1200.<br \/>[3]. Sherlock\u2019s diseases of the liver and biliary system, 13th edition,2018: p.264.<br \/>[4]. Maingot\u2019s Abdominal operations, 12th edition, 2013: pp.993-994.<br \/>[5]. W.Hamilton, \u201cHistory of Medicine,Surgery and Anatomy[II],\u201d London, 1831, p.169.<br \/>[6]. Richerd S Snell, Clinical anatomy by regions, 8th edition, 2008; pp.250-253.<br \/>[7]. Last\u2019s anatomy, Regional and applied, 12th edition, 2011; pp.407-410.<br \/>[8]. Yu, Jeffrey J et al. \u201cA case report on a rare anatomic variant of cystic duct insertion.\u201d Journal of surgical case reports 2017;7(rjx131). doi:10.1093\/jscr\/rjx131.<br \/>[9]. Sabiston textbook of surgery , 20th edition, 2016: p.1482<br \/>[10]. Pavlidis TE, Triantafyllou A, Psarras K, Marakis GN, Sakantamis AK. Long, parallel cystic duct in laparoscopic cholecystectomy for acute cholecystitis: the role of magnetic resonance cholangiopancreatography. JSLS. 2008 Oct-Dec;12(4):407-9. PMID: 19275859; PMCID: PMC3016002.<br \/>[11]. Turner MA, Fulcher AS. Cystic duct: normal anatomy and disease processes. Radiographics. 2001 Jan-Feb;21(1):3-22; questionnaire 288-94. doi: 10.1148\/ radiographics.21.1.g01ja093. PMID: 11158640.<br \/>[12]. Sachin Patil et al &#8211; Congenital Absence of the Cystic Duct: A Rare but Significant Anomaly, Surgical Science, 2013;4:241-246.<br \/>[13]. Deenitchin, G. P., Yoshida, J., Chijiiwa, K., &amp; Tanaka, M. Complex cystic duct is associated with cholelithiasis. HPB surgery : a world journal of hepatic, pancreatic and biliary surgery, 1998;11(1):33\u201337. https:\/\/doi.org\/10.1155\/1998\/25781.<br \/>[14]. Arun Kumar S. Bilodi, Gangadhar MR &#8211; Cystic Duct Remnant Syndrome Associated with Symptomatic Dilatation of Cyst Duct, International Journal of Anatomical Sciences 2011;2(2):34-36.<br \/>[15]. Cachoeira E, Rivas A, Gabrielli C Anatomic Variations of Extrahepatic Bile Ducts and Evaluation of the Length of Ducts Composing the Cystohepatic Triangle. Int. J. Morphol., 2012;30(1):279-283.<br \/>[16]. Radha Sarawagi, Shyam Sundar, Sanjeev K. Gupta,and Sameer Raghuwanshi, \u201cAnatomical Variations of Cystic Ducts in Magnetic Resonance Cholangiopancreatography and Clinical Implications,\u201d Radiology Research and Practice, 2016, Article ID 3021484, 6 pages, 2016.doi:10.1155\/2016\/3021484 <br \/>[17]. Ali Yasen Yasen Mohamed Ahmed, Alaa A. Salih, Mohamed Alsadiq Abdallah Adam, Salma Saeed Sulaiman Mohammed, Mohamed Elghazali Ahmed Basheer Elhasan, Mohamed Ahmed Abdalla. ANATOMICAL VARIATIONS OF CYSTIC DUCT AND THEIR SURGICAL IMPLICATIONS IN SUDANESE POPULATION: A CADAVERIC STUDY. Int J Anat Res 2019;7(2.1):6416-6419. DOI:10.16965\/ijar. 2019.131.<br \/>[18]. Shaw MJ, Dorsher PJ, Vennes JA. Am J Gastroenterol.1993 Dec;88(12):2102-6. PMID: 8249981.<br \/>[19]. I. Tsitouridis, G. Lazaraki, C. Papastergiou, E. Pagalos,and G. Germanidis, \u201cLow conjunction of the cystic duct with the common bile duct: does it correlate with the formation of common bile duct stones?\u201d Surgical Endoscopy and Other Interventional Techniques, 2007;21(1):48\u201352. <br \/>[20]. Sirisha. V, Udaya Kumar. P, Naveen Kumar. B, Kalpana. T. A STUDY ON THE VARIATIONS IN CYSTIC DUCT:CLINICAL AND EMBRYOLOGICAL EVALUATION. Int J Anat Res 2017;5(3.2):4308-4312. DOI: 10.16965\/ijar.2017.319.<br \/>[21]. P. Taourel, P. M. Bret, C. Reinhold, A. N. Barkun, andM. Atri, \u201cAnatomic variants of the biliary tree: diag-nosis with MR cholangiopancreatography,\u201d Radiology 1996 ; 199(2):521\u2013 527.<br \/>[22]. Yamakawa, T.; Zhang, T.; Midorikawa, Y.; Ishiyama, J.; Takahashi,K.; Sugiyama, Y. A case of cystic duct drainage into the left intrahepatic duct and the importance of laparoscopic fundus- first cholecystectomy for prevention of bile duct injury. J.Laparoendo. Adv. Surg. Tech., 17(5):662-5, 2007.<br \/>[23]. Deenitchin, G. P., Yoshida, J., Chijiiwa, K., &amp; Tanaka, M. (1998). Complex cystic duct is associated with cholelithiasis. HPB surgery : a world journal of hepatic, pancreatic and biliary surgery 1998;11(1):33\u201337. https:\/\/doi.org\/10.1155\/1998\/25781. <\/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> K. Sangameswaran. Variations of Cystic Duct and Its Clinical Significance. Int J Anat Res 2021;9(4):8120-8126. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2021.167\u00a0 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 9; Issue 4 (December 2021) Page No.: 8120-8126 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2021.167 Variations of Cystic Duct and Its Clinical Significance K. Sangameswaran *. Associate Professor, Department of Anatomy, Government Tiruvannamalai Medical College, Tiruvannamalai, Tamilnadu, India. Corresponding Author: Dr.K.Sangameswaran. M.S ,\u00a0 Associate professor, Department of Anatomy, Government Tiruvannamalai Medical College, Tiruvannamalai, Tamilnadu, India.\u00a0E-Mail:<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2021-167\">+ 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\/2558"}],"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=2558"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2558\/revisions"}],"predecessor-version":[{"id":2559,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2558\/revisions\/2559"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}