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Hepatobiliary triangle

Hepatobiliary triangle

The cystic artery branches from the hepatic artery proper.

Relationship to other vessels.
Dorlands/Elsevier	t_17/12820863

The hepatobiliary triangle (or cystohepatic triangle) is an anatomic space bordered by the common hepatic duct medially, the cystic duct inferiorly and the liver superiorly. The cystic artery normally passes through the triangle; this anatomic feature is important during laparoscopic cholecystectomies ^[1].

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Eponym

Another name used to refer to this region is Calot's Triangle. It is named for Jean-François Calot.^[2]^[3] Of note, Calot's original description of the triangle in 1891 included the cystic duct, the common hepatic duct, and the cystic artery (not the inferior border of the liver as is commonly believed).^{[citation needed]}

Clinical significance

General surgeons frequently quiz medical students on this term and the name for the lymph node located within the triangle, Calot's node. The latter is frequently enlarged due to inflammation of the gallbladder (e.g. cholecystitis) or the biliary tract (e.g. choledocholithiasis) and is removed along with the gallbladder during surgical treatment (cholecystectomy).

References

^ Balija M, Huis M, Nikolic V, Stulhofer M. Laparoscopic visualization of the cystic artery anatomy. World J Surg. 1999 Jul;23(7):703-7. PMID 10390590
^ synd/4023 at Who Named It
^ J. F. Calot. De la cholécystectomie. Doctoral thesis, Paris, 1891.

v • d • e General anatomy of torso
Thorax/ Thoracic cavity	Mediastinum (Superior, Anterior, Middle, Posterior) • Superior thoracic aperture • Inferior thoracic aperture • Triangle of auscultation • Intercostal space • Thoracic plane • Thoracic wall/Thoracic cage - fascia (Pectoral fascia, Clavipectoral fascia, Thoracolumbar fascia) • Chest • Midsternal line
Thoracic diaphragm	openings (Caval opening, Esophageal hiatus, Aortic hiatus, Foramina of Morgagni) • Central tendon • Crus of diaphragm • arcuate ligaments (Lateral, Medial, Median)
Abdomen/ Abdominal cavity	Retroperitoneum • Paracolic gutters • Hepatobiliary triangle anterior abdominal wall (Arcuate line, Linea alba, Tendinous intersection, Linea semilunaris, McBurney's point, Traube's space, Inguinal triangle) • Inguinal canal (Deep inguinal ring, Superficial inguinal ring, Intercrural fibers, Crura of superficial inguinal ring) • Lumbar triangle • regions (Epigastrium, Hypochondrium, Umbilical region, Latus, Hypogastrium, Inguinal region) • planes (Transpyloric plane, Intertubercular plane, Midclavicular line) fascia (Fascia of Camper, Fascia of Scarpa, Transversalis fascia, Renal fascia, Rectus sheath)
Pelvis/ Pelvic cavity	Pelvic floor • Retropubic space fascia (Pelvic fascia, Superior fascia of diaphragm of pelvis, Inferior fascia of diaphragm of pelvis, Fascia of the Obturator internus, Tendinous arch, Iliac fascia)
Perineum	Anal triangle (Ischioanal fossa, Pudendal canal, Anococcygeal raphe) Urogenital triangle (Superficial perineal pouch, Deep perineal pouch) Perineal body fascia (Dartos/fascia of perineum/superficial perineal fascia/Fascia of Colles, Perineal membrane/"Inferior fascia of UGD", "Superior fascia of UGD")

Categories: Abdomen | Hepatology

This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Hepatobiliary_triangle". A list of authors is available in Wikipedia.