Calot三角的解剖胆囊动脉胆囊

                               
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Unedited video of a long cystic artery is shown at routine laparoscopic cholecystectomy. At otherwise uneventful surgery, a long cystic artery is noted. Possibility of an abnormal right hepatic artery existed. So careful dissection upto entry of the vessels to the gall bladder is necessary before division.
Strasberg critical view demonstrates only 2 structures entering the gall bladder - duct and cystic vessels. To demonstrate this , Rouviere's sulcus, the cystic LN ( stay to its right side), the elephant trunk sign where the cystic duct joins the Gall Bladder, the initial posterior dissection of the Hartmann pouch, a clear wide window between the GB and the liver bed, only 2 clear structures shown attached to the GB-  were all demonstrated clearly. Further, the long vessels were clipped to see if there was any ischaemic change to the right lobe of liver.
Only after all these precautions , were the vessels and the cystic duct were divided. Surgery was completed and post operative recovery was uneventful.