BACKGROUND: . During cholecystectomy, to avoid common bile duct injury or other per operative
complication, the knowledge of cystic cyst anomalies is imperative. This study aimed to
highlight cystic duct anomalies identified during laparoscopic cholecystectomy and report their
METHODS: This prospective study was conducted at Liaquat University of Medical & Health Sciences,
Jamshoro over a period of six years (2009-2014) in the department of Surgery. Over this
specified period a total of 775 patients underwent cholecystectomy and were included in this
RESULTS: Among 775 patients who underwent laparoscopic cholecystectomy, abnormal confluence
was found in 7.22%, short cystic duct in 26.78%, long cystic duct in 17.86% and double
cystic duct in 12.50%. Surgical problems encountered due to these variations were cystic duct
avulsion, common bile duct injury, bleeding and bile leak.
CONCLUSION: During laparoscopic cholecystectomy, unidentified anatomical variations of cystic
duct may cause drastic complications including ductal injuries which significantly increase
morbidity and may raise mortality.
Cystic duct anomalies, laparoscopic cholecystectomy, biliary tree anomalies.