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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Case report
Full Version
Cystic Artery Originating from Hepatic Capsular Artery: A Case Report
Correspondence Address :
Dr. Mohammad Bukhetan Alharbi,
13462, Nada District, Zip Code-11426, Riyadh, Saudi Arabia.
E-mail: harbimbh@gmail.com
The Cystic Artery (CA) is a crucial structure that is dissected and ligated during Laparoscopic Cholecystectomy (LC). While several studies have explored the varying anatomy of the CA, there are no case reports discussing the hepatic capsular artery as a potential source of the CA. This case report involves a 52-year male who underwent a planned LC using blunt dissection to separate the connective tissue surrounding the gallbladder. Remarkably, the CA in this case originated from the hepatic capsular artery, which may be the first instance of such an observation recorded. Precise surgery with careful dissection of the gallbladder can help minimise the risk of bleeding from an injury to the CA, especially when faced with atypical anatomical variations. Continuous awareness and updates on these variations are essential for achieving a safe surgical outcome.
Capsular artery, Laparoscopic cholecystectomy, Right hepatic artery
A 52-year-old male presented to the general surgery department with symptoms of biliary colic. He had no history of previous acute gallbladder events, and his family history was unremarkable. His past medical history included a laparoscopic appendectomy 20-year-ago. Upon examination, his vital signs were normal, and the abdominal assessment showed a positive Murphy’s sign with no jaundice. Biochemical tests were normal, except for mild leukocytosis.
An ultrasound revealed multiple gallstones with an acoustic shadow and signs of acute cholecystitis. The liver and common bile duct diameters were normal. The patient was scheduled to undergo an elective LC. During the surgery, blunt dissection was performed at Calot’s triangle. The hepatic capsular artery was noted entering the liver tissue near the gallbladder fundus. This artery, which supplies the gallbladder via the proper CA, was identified, clipped, and then divided (Table/Fig 1).
The procedure was completed smoothly, and the patient recovered well postsurgery. Four weeks later, clinical and biochemical assessments showed normal results. The case received ethical committee approval (682/2024).
The CA primarily originates from the right hepatic artery, with additional support from aberrant, proper, and left hepatic arteries. The common hepatic duct and cystic duct are located posterior to the CA. The average length of the CA is approximately 20.77 mm, with an average diameter of 1.91 mm. Notably, around 20% of individuals exhibit short cystic arteries. Surgical procedures must consider congenital variations, such as the absence or duplication of cystic arteries, despite these occurrences being relatively rare (1).
In a case reported by Dolenšek J, an unusual array of vascular anomalies affecting the liver and gallbladder was observed in a deceased male. This case involved the presence of an additional left hepatic artery and an additional right hepatic artery, each giving rise to two cystic arteries, one of which was positioned lower than usual. This combination of vascular anomalies has not been previously documented. The additional left hepatic artery originated from the left gastric artery, while the additional right hepatic artery arose from the superior mesenteric artery. Such arterial variations occur due to differences in embryonic development (2).
Alterations in the anatomy of the CA and surrounding structures can lead to confusion, iatrogenic injury, and prolonged surgical times (3). Patients with impacted stones in the neck of the gallbladder, significant inflammation in Calot’s triangle, or gallbladder perforation are particularly likely to encounter challenges during LC (4). C-Reactive Protein (CRP) is a key indicator related to these challenges, especially regarding the risk of converting from laparoscopic to open surgery. Patients with elevated pre-treatment CRP levels are at a higher risk of experiencing intraoperative complications and are more likely to require conversion to open surgery. Specifically, preoperative CRP levels that exceed 11 mg/dL are associated with a significantly increased likelihood of complicated LC. This situation raises concerns for the primary surgeon regarding the potential for unexpected anatomical variations or bleeding due to arterial variations associated with the gallbladder during the procedure (5).
Indocyanine green dye has been previously regarded as a surgical option to enhance safety during procedures and reduce CA injury (6), for combined vascular and biliary fluorescence imaging (7), or the indocyanine green reinjection technique for fluorescent angiography alongside cholangiography (8).
Morphological variability, such as the presence of an aberrant CA, raises the likelihood of difficulties after LC. The aberrant architecture involves the presence of two cystic arteries of equal size, on some occasions. The hepatic capsular arteries extend across the surface of the liver and form the circulatory network within the organ. These arteries are crucial for blood circulation in different instances in medicine (9).
It is imperative to evaluate the significance of a Critical View of Safety (CVS) procedures and Rouviere’s Sulcus (RS) within the context of LC and its association with Biliary Duct Injuries (BDIs). The dissection should be performed above the RS. Moreover, it is essential to ascertain the incidence and classification of RS. To mitigate the risk of significant complications, it is vital to accurately identify the RS before severing the CA or duct during LC (10).
In their research, Ibrarullah M et al., determined that a critical view of safety was successfully established in 93% of patients. The most prevalent type identified was Type 1 RS, which accounted for 52% of cases. A cystic duct exhibiting normal characteristics was observed in 68% of the patients. The variety most commonly noted, occurring in 14.2% of cases, was a wide cystic duct of normal length. The predominant presentation, identified in 77% of patients, involved an isolated CA situated superiorly and medially to the cystic duct (Type 1-s). The second most common configuration, observed in 8% of cases, was an inferior CA located infero-laterally to the cystic duct (Type 2). The presence of multiple cystic arteries in the hepatocystic triangle can arise from either early branching of a singular CA (Type 1m) or the existence of two separate cystic arteries (Type 3). Additionally, a Type 4 aberrant right hepatic artery, which included a minor CA, was noted in 3% of cases (11).
An examination of the AFT indicates that to enhance safety during LC, it is critical to recognise and evaluate the specific methods employed during the procedure, rather than solely concentrating on the successful completion of the surgical task (12).
The CA was classified into four categories according to its placement with the cystic duct. The components of the structure consist of the superomedial, superolateral, anterior, and the missing CA with the cystic duct (13). The use of the posterior Calot’s triangle method in LC is a practical and effective technique for surgeries involving complex vascular structures. This approach results in reduced blood loss and improved ease of the procedure without increasing operative risks (14). Additionally, laparoscopic modified fundus-down cholecystectomy may shorten surgical duration compared to the traditional method, while maintaining comparable complication rates, making it a promising avenue for future research (15), in contrast to the standard technique that was followed in the present study.
Surgeons must consider various vascular variations related to the gallbladder during perioperative assessments, as these can significantly impact surgical planning. Although there are currently no standardised preoperative predictors for difficult surgeries, identifying such variations may enhance surgical preparation. A thorough understanding of gallbladder vascular anatomy is essential to minimise the risk of unexpected bleeding during surgery.
DOI: 10.7860/JCDR/2026/77445.24319
Date of Submission: Dec 21, 2024
Date of Peer Review: Jan 30, 2025
Date of Acceptance: May 02, 2025
Date of Publishing: Sep 01, 2026
Author declaration:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 27, 2024
• Manual Googling: Apr 28, 2025
• iThenticate Software: Apr 30, 2025 (5%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com