SciELO - Scientific Electronic Library Online

vol.38 issue3The Relation of Foot Morphology to Performance in Three Vertical Jumping TasksSuppression of Thioacetamide-Induced Hepatic Injury in Rats treatment with Resveratrol: Role of mammalian Target of Rapamycin (mTOR) Cell Signaling author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


International Journal of Morphology

On-line version ISSN 0717-9502


COELLO, R  and  DEL SOL, M. Angiotomography of the Cystic Artery in Preoperative and Comorbidity in Laparoscopic Cholecystectomy for Cholelithiasis. Int. J. Morphol. [online]. 2020, vol.38, n.3, pp.552-557. ISSN 0717-9502.

Laparoscopic cholecystectomy is the treatment of cholelithiasis of choice; however, it is accompanied by comorbidities and is not exempt from major complications that can be lethal; the identification of the cystohepatic trigone with dissection and ligation of the cystic artery are mandatory steps of surgery; the identification of the variations of the cystic artery and the bile ducts can minimize the possible complications. The preoperative protocol was implemented with an angiotomography with Siemens Somatón Sensation ® 64-slice Tomograph to identify the cystic artery in patients with cholelithiasis of the General Surgery Unit of the Teodoro Maldonado Carbo IESS Specialty Hospital of Guayaquil. 60 female patients were chosen at random (ages 19 -70 years, average 44.25 years) and the sample was divided into two groups of 30; Angiotomography was applied to the study group up to one month before surgery and the conventional protocol was applied to the control group. Morbidities related to: operative haemorrhage due to cystic artery and postoperative injury: operative wound infection, ileus and drainage were evaluated. Angiotomography allowed to identify the cystic artery in the preoperative period and contributed to decrease comorbidities that accompany laparoscopic cholecystectomy.

Keywords : Laparoscopic cholecystectomy; Cystic artery; Cystohepatic trigone; Computed angiotomography; Laparoscopic anatomy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )