Document Detail


Where to incise and/or divide the cystic duct.
MedLine Citation:
PMID:  12587493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study concern was to establish the position of cystic duct incision/division in circumstances of laparoscopic cholecystectomy. Seventy consecutive human cadavers were dissected. Corrosion casting (50) and post-mortem cholangiography (20) were employed. Cystic duct length was 34.6 mm, and in 88.6% cases its length was 1-5 cm. Mean cystic duct diameters next to the gallbladder neck, within the valve and 5 mm proximal to the junction with the common hepatic duct were 1.95, 0.42 and 1.85 mm, respectively. Lateral cysto-hepatic junction was identified in 78.6%, spiral in 10% and parallel in 10%. In 90% cases the cysto-hepatic junction is within 4 cm of the hepatic duct junction. One case (1.43%) of cystic duct entering the right hepatic duct was identified. The valve of Heisteri consisted of three spiral turns in 73% of the cases with a range from 0 to 5. In 3/70 specimens the spiral valve did not exist.
Authors:
D Ignjatović; B Djurić; V Zivanović
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgica Iugoslavica     Volume:  49     ISSN:  0354-950X     ISO Abbreviation:  Acta Chir Iugosl     Publication Date:  2002  
Date Detail:
Created Date:  2003-02-17     Completed Date:  2003-03-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372631     Medline TA:  Acta Chir Iugosl     Country:  Yugoslavia    
Other Details:
Languages:  eng     Pagination:  99-101     Citation Subset:  IM    
Affiliation:
Department of Surgery, KBC Dr Dragisa Misović University Hospital, Belgrade.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cholecystectomy, Laparoscopic / methods*
Cystic Duct / anatomy & histology,  surgery*
Female
Humans
Male
Middle Aged

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