Common vascular variants of cystic artery and right hepatic artery |
Single cystic artery[6] |
Two arteries (superficial and deep)[6] |
Single short cystic artery originated from caterpillar right hepatic artery[4,5,10] |
Long single cystic artery not from right hepatic artery crossing anterior to the common hepatic duct[7,8] |
Double cystic artery/accessory cystic artery[9] |
Cystic artery seen more anteriorly than posteriorly in relation to Mascagni’s lymph node[7,9] |
A constant vessel found on the postero-lateral margin of gallbladder bed[6,9] |
Cystic artery coming from gastroduodenal artery, passing outside Calot’s triangle[6,9] |
Patient-related factors |
Overweight and pathological obesity[1] |
History of biliary surgery or endoscopic procedures[1] |
Underlying liver disease[1] |
Gallbladder pathology |
Acute or chronic cholecystitis[1-3] |
Gallbladder anomalies (gallbladder duplication, gallbladder agenesia, left-side gallbladder)[1-3] |
Surgical experience |
Learning curve[1,2] |
Inadequate exposure[1,2,6] |
Failure to recognize anatomical landmarks[2,6] |