Background- Anatomical variations in the hepatobiliary system are usually asymptomatic. However, it is very important to know the anatomy to avoid unwanted complications during surgery and in the postoperative period Materials and methods:- 80 patients with cholecystitis who presented to the department of surgery, KIMS, Narketpally, who underwent laparoscopic cholecystectomy, were included in this prospective study. Results: - Out of the 80 patients, variable anatomy of the biliary system and vascular system was found in 20 patients, of whom, 15 had variations in the biliary system and 5 patients had variations in the vascular system. 3 patients with variable anatomy developed complications. 6 patients had to be re-explored by conversion into open cholecystectomy due to frozen Calot’s triangle. Conclusion:- Variations in biliary anatomy and vascular system are diverse. Few such variations were confirmed with this study, thereby implying the need for in-depth knowledge about congenital anomalies of the biliary system.
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