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Laparoscopic cholecystectomy is one of the most frequently performed procedures in surgical wards. Proper anatomical identification of structures within the triangle of Calot is essential for the procedure safety. Aim: To evaluate demographic, clinical and anatomical characteristics of 84 patients who underwent laparoscopic cholecystectomies. Material and methods: Anatomical characteristics of Calot's triangle were correlated with body mass index, gender and age of patients as well as with time of the surgery, type of vascular ligation, presence of adhesions, postopera- tive bleeding, bile leakage and use of a harmonic scalpel. Additionally, patients' demographic data were analysed and compared with data from other patients from Lublin's state. Results: Obtained anatomical relations of the cystic artery were classified into 2 groups. Group one had typical posi- tion of the cystic artery within Calot's triangle. Variants were included in group two. Variants of cystic artery were observed more frequently in females. Conclusions: We found that the classification of Skandalakis et al. was very detailed, but too complex to be imple- mented in everyday practice. Therefore we propose a simplified classification which could be used as a practical tool to determine the type of anatomical variation and preserve the safety of the procedure.

videosurgery and other miniinvasive techniques/wideochirurgia i inne techniki mało inwazyjne

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