Volume : IX, Issue : XII, December - 2019

Cystic lymph node - a reliable landmark to avoid bile duct injuries during laparoscopic cholecystectomy

Dr. Aviral Gupta

Abstract :

Aim: is to raise awareness among surgeons regarding important anatomical landmark that is cystic lymph node, which may help surgeons during dissection of cystic artery and cystic duct in hepatobiliary triangle during laparoscopic cholecystectomy. Materials and Methods: We did prospective observational study of 300 patients undergoing elective laparoscopic cholecystectomy . Intra operative the lymph node was identified. Observations were noted on the basis of lymph node position and it’s relative significance to triangle of calot’s. RESULTS: We used cystic lymph node as landmark to start dissection in hepato–biliary triangle . To date we have no bile duct or cystic artery injury. The different positions of cystic lymph node and the dissection plane according to it were noted. CONCLUSION: We conclude that a dissections using cystic lymph node as landmark will keep the artery safe , prevent intra–operative injuries and further complications.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

CYSTIC LYMPH NODE - A RELIABLE LANDMARK TO AVOID BILE DUCT INJURIES DURING LAPAROSCOPIC CHOLECYSTECTOMY, Dr. Aviral Gupta INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-12 | December-2019

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