Ignjatović D, Zivanović V, Vasić G, Kovacević-Mcilwaine I
Klinika za hirurgiju KBC Dr Dragisa Misović, Beograd.
Acta Chir Iugosl. 2006;53(1):63-6. doi: 10.2298/aci0601063i.
Large patient series undergoing laparoscopic cholecystectomy fail to show anatomic variations which lead to intraoperative bleeding.
Cadaver material was used and corrosion casting and postmortem arteriography were employed.
Three types of cystic artery were devised according to the results. Type 1 normal anatomy. Type 2 more than one artery in Calots triangle and Type 3 no artery in Calots triangle.
only 40% of the second cystic artery is present in Calots triangle. The short second cystic artery is characteristic and its most often origin is from a segmental branch of the right hepatic artery. When there is no artery in Calots triangle its origin unusual, and the artery is either on the postero-lateral side of the cystic duct or it approaches the gallbladder through hepatic tissue. The specifics of MIS approach make changes in the way we understand the anatomic variations of the cystic artery. The classification is a result of practical experience and anatomical investigations.
接受腹腔镜胆囊切除术的大量患者系列未显示出导致术中出血的解剖变异。
使用尸体材料，并采用腐蚀铸型和死后动脉造影术。
根据结果设计了三种类型的胆囊动脉。1型为正常解剖结构。2型为胆囊三角内有不止一条动脉。3型为胆囊三角内无动脉。
只有40%的第二胆囊动脉存在于胆囊三角内。短的第二胆囊动脉具有特征性，其最常见的起源是右肝动脉的分支。当胆囊三角内无动脉时，其起源异常，动脉要么在胆囊管的后外侧，要么通过肝组织接近胆囊。微创方法的特点改变了我们理解胆囊动脉解剖变异的方式。该分类是实践经验和解剖学研究的结果。
