FREQUENCY OF VARIOUS ANATOMICAL VARIATIONS OF THE CYSTIC DUCT IN PATIENTS WITH CHOLELITHIASIS: A DESCRIPTIVE STUDY
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Keywords
Cholelithiasis, Bile duct, Anatomical variations, Frequency
Abstract
Objective: To determine the frequency of various anatomical variations of the cystic duct in patients with cholelithiasis.
Material and methods: The present study was carried out at Mohammad College of Medicine Peshawar. The study comprised adult patients of both genders who underwent open cholecystectomy between August 2022 and August 2023. A standardized proforma was developed to encompass many aspects of patient information, such as demographics, medical history, clinical examination details, pertinent diagnostic tests, intraoperative observations, and postoperative problems. The statistical analysis of the data was conducted using SPSS version 24.
Results: Mean age was 42.84 ±14.33 years, males were 37.1% and females were 62.9%. Most common anatomical variation was lateral insertion 42.4%, after lateral insertion medial insertion was second most common variation 21.2% followed by high insertion 16.5%. Anatomical variations and gender were not associated (P = 0.41).
Conclusion: In summary, it can be concluded that among patients with cholelithiasis, the prevailing anatomical variation of the cystic duct was lateral insertion, observed in 42.4% of cases, followed by medial insertion at 21.2%, and high insertion at 16.5%.
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Rahmat Ullah Jan
Senior Lecturer Anatomy, Mohammad College of Medicine, Peshawar - Pakistan
Nauman khan
Demonstrator Anatomy Department, Swat Medical College, Swat - Pakistan
Syeda Gulrukh Saba Shah
BDS, MPH, MPhil Anatomy and CHPE, Assistant Professor Anatomy Department
Amjad Ali Shah
MBBS FCPS Surgery, Assistant Professor of Surgery at Northwest Teaching Hospital, Peshawar - Pakistan
Huma Shafiq
MBBS, Women Medical and Dental College, Abbottabad - Pakistan