Classification of anatomical morphology of cystic duct and its association with gallstone

作     者：Jia-Hai Zhu Song-Ling Zhao Qiang Kang Ya Zhu Li-Xin Liu Hao Zou 

作者机构：Department of Hepatobiliary Pancreatic SurgeryThe Second Affiliated Hospital of Kunming Medical UniversityKunming 650106Yunnan ProvinceChina Department of Hepatobiliary SurgeryThe Second Affiliated HospitalKunming Medical UniversityKunming 650106Yunnan ProvinceChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第2期

页      面：307-317页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by The Yunnan Medical Discipline Leader Training Program No.D-2019012 

主　　题：Cystic duct Gallstone Classification Anatomy Magnetic resonance cholangiopancreatography Risk factor 

摘      要：BACKGROUND Gallstones are common lesions that often require surgical ***-scopic cholecystectomy is the treatment of choice for symptomatic ***,the anatomical morphology of the cystic duct(CD),needs to be accurately recognized,especially when anatomical variations occur in the CD,which is otherwise prone to bile duct ***,at present,there is no optimal classification system for CD morphology applicable in clinical practice,and the relationship between anatomical variations in CDs and gallstones remains to be *** To create a more comprehensive clinically applicable classification of the morphology of CD and to explore the correlations between anatomic variants of CD and *** A total of 300 patients were retrospectively enrolled from October 2021 to January *** patients were divided into two groups:The gallstone group and the nongallstone *** clinical data and anatomical data of the CD based on magnetic resonance cholangiopancreatography(MRCP)were collected and analyzed to propose a morphological classification system of the CD and to explore its relationship with *** analysis was performed using logistic regression analyses to identify the independent risk factors using variables that were significant in the univariate *** Of the 300 patients enrolled in this study,200(66.7%)had *** mean age was 48.10±13.30 years,142(47.3%)were male,and 158(52.7%)were female.A total of 55.7%of the patients had a body mass index(BMI)≥24 kg/*** on the MRCP,the CD anatomical typology is divided into four types:Type I:Linear,type II:n-shaped,type III:S-shaped,and type IV:*** analysis revealed differences between the gallstone and nongallstone groups in relation to sex,BMI,cholesterol,triglycerides,morphology of CD,site of CD insertion into the extrahepatic bile duct,length of CD,and angle between the common hepatic duct and *** to