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Recent studies by R. Sugita and co-authors add new data to cholecystectomy findings.
In this recent study, researchers in Sendai, Japan conducted a study "To retrospectively assess 64-detector row computed tomography (CT) in the preoperative depiction of the cystic duct and cystic arteries in and around the Calot triangle. Institutional review board approval was obtained, with waiver of informed consent."
"A total of 245 consecutive patients (133 men, 112 women), including 48 patients who subsequently underwent cholecystectomy, were examined. Two independent observers evaluated the CT data set on the basis of axial sections, coronal and sagittal multiplanar reformations, and three-dimensional volume rendering. The relationship between the cystic arteries and the Calot triangle-which is bordered by the under-surface of the liver, common hepatic duct, and cystic duct-was also evaluated, and each patient was classified on the basis of the origin of the cystic arteries and the course to the Calot triangle. Statistical analysis was performed, and percentages and confidence intervals were calculated. The cystic arteries were delineated in 234 of the 245 patients. Both the Calot triangle and the cystic arteries were delineated in 223 patients. One cystic artery was seen in the Calot triangle in 173 patients, and two cystic arteries were seen in the Calot triangle in 12. One artery in the Calot triangle with accessory arteries from different origins outside the Calot triangle was seen in 18 ...
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...subtotal chole cystectomy has been documented to minimize morbidity and avoid bleeding and difficult dissection in the Calot triangle.4 Occasionally, surgeons are still faced with a bleeding gallbladder bed in the absence of modern hemostatic agents such...
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...cholecystectomy is now indisputably the gold standard for managing most gallbladder diseases. However, subversion of the Calot triangle anatomy cannot always be managed by laparoscopy and often requires a laparotomy conversion." "This report discusses our...
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Source: HighBeam Research, Recent studies by R. Sugita and co-authors add new data to...