Description

Laparoscopic cholecystectomy, the gold standard for gallbladder removal, demands not only skill but also deep anatomical understanding—especially when facing variations like an aberrant cystic artery. At World Laparoscopy Hospital (WLH), Gurgaon, surgeons and trainees master the art of safe and precise dissection in such complex anatomical conditions through structured guidance, simulation-based training, and live surgical exposure under the mentorship of Dr. R. K. Mishra. In this particular case, a variant cystic artery anatomy was encountered during laparoscopic cholecystectomy. Instead of the usual single cystic artery arising from the right hepatic artery within Calot’s triangle, an aberrant cystic artery coursed anteriorly and entered the gallbladder from an unusual direction. Recognizing this anomaly early was crucial to avoid injury to the hepatic artery or bile duct—two of the most feared complications in biliary surgery. At WLH, surgeons follow the Critical View of Safety (CVS) technique, ensuring the clear identification of the cystic duct and artery before any clipping or division. Using high-definition 4K laparoscopic imaging systems, every minute vascular and biliary detail is visualized with exceptional clarity. The surgeon began with meticulous peritoneal dissection using energy-based instruments, gently exposing Calot’s triangle. The aberrant artery was carefully skeletonized, traced to its origin, and safely clipped with titanium clips before division. The entire procedure emphasized precision, patience, and anatomical respect, highlighting the core philosophy of WLH’s training—safety first, technique always. Every step, from trocar placement to gallbladder extraction, was performed with ergonomic control and minimal tissue trauma, reflecting the excellence that World Laparoscopy Hospital instills in its trainees. Through such complex real-time surgical experiences, WLH continues to uphold its reputation as the world’s leading institute for laparoscopic and robotic surgery education, where surgeons not only learn the technique but also develop the judgment to handle unexpected anatomical challenges confidently. Conclusion: The successful management of an aberrant cystic artery during laparoscopic cholecystectomy at World Laparoscopy Hospital demonstrates how advanced training, modern technology, and surgical discipline come together to ensure patient safety and superior outcomes. WLH stands as a beacon of innovation and excellence in minimally invasive surgery, preparing surgeons worldwide to perform even the most challenging cases with confidence and precision.