ASSOCIATION OF CALOT’S TRIANGLE CYSTIC LYMPH NODE AND CYSTIC ARTERY DURING LAPAROSCOPIC CHOLECYSTECTOMY

Objective: To evaluate the cystic lymph node in triangle of Calot's and to detect the association of cystic artery to cystic lymph node at tertiary care teaching hospital Patients and Methods: This cross sectional case series study was conducted from 1-July-2015 to 31-Dec-2015 at LUMHS Jamshoro Sindh Pakistan. All the patients who were planned for elective laparoscopic cholecystectomy were admitted and included in this study. The referral patients from different wards as Gynecology & Obstetrics and medicine were also included in the study. All the participants were evaluated by ultrasound before surgical procedure while laparoscopic cholecystectomy was performed under general anesthesia by applying four port techniques. The data was analyzed in SPSS 16, the frequency and percentages were computed for categorical variables while the mean ±SD was computed for quantitative variables. Results: The frequencies of the cystic lymph node and associated variations were observed. Of fifty cases 27 (54%) cases had Calot's triangle lymph nodes with female population predominance 20(40%). Out of 27 subjects, the cystic artery was posterioinferior and anteroinferior to lymph node in 18(36%) and 09(18%) individuals within triangle of Calot's. Conclusion: The cystic lymph node was observed in twenty seven participants with association to cystic artery. Keywords: Calot's triangle, Laparoscopic Cholecystectomy, Cystic lymph nodes and Cystic artery