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TITLE:

INCIDENCE OF TYPICAL ANATOMICAL CHANGES IN EXTRAHEPATIC BILIARY TRACT IN PATIENTS PLANNED FOR ELECTIVE CHOLECYSTECTOMY

AUTHORS:

Dr Ayesha Shakil, Dr Maryam Nazir, Dr Aziz Anwar Saleem

ABSTRACT:

Aim: A cross-sectional study was performed to determine the frequency of typical anatomical changes in extrahepatic biliary tract in patients undergoing elective cholecystectomy. Place and Duration: In the Surgical Unit II of Services Hospital Lahore for one year duration from March 2019 to March 2020. Method: A total of 136 patients were enrolled in the study who met the inclusion and exclusion criteria. Written consent was obtained from the patient. All patients underwent cholecystectomy by a general surgeon or senior registrar, according to hospital protocols with over 2 years of experience after the post- fellowship. Results: The average age of patients was 40.9 ± 12.3 years, and the ratio of men to women was 1: 7.5. Anatomical variability was observed in 13 (9.6%) of 136 cases. Moynihan’s hump was seen in 8 (5.9%) cases while Accessory cystic artery was noted in 5 (3.7%) cases. Conclusion: Anatomical variability in 136 cases (9.6%), Moynihan's hump (5.9%) and an additional cystic artery (3.7%) were observed in this study. These anatomical variants tend to be injured during cholecystectomy, and the result of cholecystectomy depends on a clear understanding of normal anatomy and the variants duct. Key words: cholelithiasis, Anatomical variation, Moynihan's hump, ancillary cystic artery,

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