Prospective Observational Study to Assess the Incidence of Double Cystic Artery

Abstract

INTRODUCTION
The purpose of this research was to determine the prevalence of double cystic arteries. The research was a 15-month prospective observational study undertaken at the Department of General Surgery at SCB Medical college and Hospital, Cuttack. This study included 520 patients with symptomatic gallstones with benign gallbladder diseases, gallbladder polyps, previously known gallbladder inflammation, patients without bleeding clotting disorder, patients over the age of 18, and patients who could be given general anaesthesia induction and underwent laparoscopic cholecystectomy surgery. The features and consequences of people with twin cystic arteries were documented and investigated.
RESULTS
In one year, 520 laparoscopic cholecystectomy procedures were conducted. The research comprised 129 male and 391 female participants. The average age ranged from 21 to 71 years old (53.26). Four male patients (0.77%) and sixteen female patients (3.07%) had two cystic arteries discovered after surgery. These patients had an average age of 53.410.85. According to ultrasound findings, the rationale for surgery in three of the twenty patients with double cystic arteries was gall bladder polyp, while the remainder of the patients had several stones in the gallbladder. In four individuals who did not have gallstones, an epigastric hernia was discovered,
and an epigastric hernia repair was done concurrently laparoscopically. Due to bleeding during operation, 4 of the 20 patients (20%) with double cystic arteries were moved from laparoscopic to traditional cholecystectomy. Patients with a double cystic artery spend an average of 5.9 (4-12) days in the hospital, compared to (3.2 days) for patients without a double cystic artery. The average occurrence of a double cystic artery was determined to be 3.84.
Conclusion
Cystic artery variants may coexist with other abnormalities. Understanding cystic artery differences may help to limit the risk of uncontrolled intraoperative bleeding, extrahepatic biliary damage, and conversion to traditional cholecystectomy