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Gallbladder duplication successfully removed laparoscopically using endoscopic nasobiliary tube.
K Shirahane1, K Yamaguchi, T Ogawa
1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Surgical Endoscopy
|May 3, 2003
Summary
This study details a successful laparoscopic removal of a duplicated gallbladder, a rare biliary anomaly. Endoscopic nasobiliary (ENB) tube cholangiography was crucial for identifying anatomy and ensuring safe surgical closure.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biliary Tract Anatomy
Background:
- Gallbladder duplication is a rare congenital biliary tract anomaly.
- Anatomical variations can complicate laparoscopic cholecystectomy.
- Accurate preoperative diagnosis is essential for managing complex biliary cases.
Observation:
- A 61-year-old woman presented with right upper quadrant pain and ultrasonography revealed two cystic structures in the gallbladder fossa.
- Endoscopic retrograde cholangiography confirmed gallbladder duplication, with each gallbladder possessing a separate cystic duct draining into the common bile duct.
- The upper gallbladder contained multiple gallstones.
Findings:
- Laparoscopic cholecystectomy was performed for the duplicated gallbladder with gallstones.
- Endoscopic nasobiliary (ENB) tube cholangiography was utilized intraoperatively to delineate biliary anatomy.
- The ENB tube facilitated identification of the biliary tree and safe closure of the cystic duct stump.
Implications:
- This case highlights the utility of endoscopic nasobiliary (ENB) tube cholangiography in laparoscopic surgery for complex biliary anomalies.
- ENB tube use can enhance surgical precision and safety in cases of gallbladder duplication.
- Successful laparoscopic management of duplicated gallbladder demonstrates the potential for minimally invasive approaches in rare anatomical variations.