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Research Paper | General Surgery | India | Volume 12 Issue 2, February 2023

Incidence of Vascular and Biliary Anomalies Found during Laparoscopic Cholecystectomy and their Outcomes

Dr. Radhe Shyam ^[2] | Dr. P Venkata Ramana Reddy

Abstract: Introduction: Cholecystectomy is one of the most performed abdominal operations in general surgery. Recognition of biliary structures during laparoscopic procedures requires a greater familiarity of anatomy than for a standard or open procedure. Variations in the anatomy of gallbladder, bile ducts and the arteries that supply them and liver are important to the surgeon because failure to recognize them may lead to inadvertent ductal ligation, biliary leaks, and strictures after laparoscopic cholecystectomy. Congenital anomalies of extra hepatic biliary tree have long been recognized but are rare. Of the complications associated with laparoscopic cholecystectomy, the most potentially significant are those of injury to the vasculature or biliary tract which occur in 0.25% and 0.6% of procedures respectively. Variations in biliary anatomy are common, with 19-39% of the population having a variation of ?normal? biliary anatomy12. Less than 2% of cases of cholecystectomy need to be converted from laparoscopic to open due to uncontrollable hemorrhage and approximately 0.16% cases of laparoscopic cholecystectomy are complicated by injury to significant hepatic vasculature, such as hepatic artery or portal vein. Recent advances in MRI, MRCP and Multidetector (MD) or Helical CT Scan have improved image quality greatly and have contributed to increased recognition.

Keywords: Gall Bladder, Hepatobiliary anomalies, Vascular anomalies

Edition: Volume 12 Issue 2, February 2023,

Pages: 1109 - 1117