Anatomical Variations in Cystic Duct Observed in Patients During Open Cholecystectomy at Hayatabad Medical Complex, Peshawar.

Objectives: To dermine the type of morphology of the cystic duct and to file the occurrence of anatomical variations in the people of Khyber Pakhtunkhwa.Materials and Methods: This was a descriptive study having a total number of 220 patients were selected for the study undergoing open cholecystectomy. This includ- ed both female and male cases. All patients were operated by open cholecystectomy procedure. During the surgicalprocedure Calot’s triangle was identifi ed and the junction of cystic duct with the common hepatic duct was carefully observed and any variation in the morphology of cystic duct was observed and were noted on a proforma.Results: Out of 220 patients, Normal anatomy was observed in 164 patients (74.54%). Anomalies were observed in 56 patients(25.45%) . Small cystic duct was the most common anomaly observed in 21 (9.54%) patients. 19 (8.63%) cases were observed to have long cystic ducts. The cystic duct entering the right hepatic duct was observed in 10 (4.54%) cases. Apparent common bile ducts(ACBD) were found in 6 (1.36%) patients.Conclusion: The extrahepatic biliary tree is the region mostly prone to anatomical variations. Cystic duct has been observed to be having a diversity of anatomical variations affecting the biliary tree. Hence it is mandatory for the surgeons to have an accurate acquaintance to standardanatomy and anatomical variations of the cystic duct to avoid any complications during and after cholecystectomy.