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Related Experiment Video

Updated: Jan 26, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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Laparoscopic excision of a triple gallbladder.

S Nanthakumaran1, P M King, T S Sinclair

  • 1Department of Surgery, Aberdeen Royal Infirmary, Grampian University Hospitals NHS Trust, Foresterhil, Aberdeen, Scotland AB25 2ZN, UK.

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|March 25, 2004
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This report details the first laparoscopic surgery for a rare triple gallbladder anomaly. The successful procedure highlights the need for advanced imaging in diagnosing and treating complex biliary tract conditions.

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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Congenital Anomalies
  • Surgical Case Reports

Background:

  • Triplication of the gallbladder is an extremely rare congenital anomaly of the biliary tract, with fewer than ten cases documented globally.
  • Biliary colic and choledocholithiasis are common presentations that can necessitate surgical intervention.

Observation:

  • A patient presenting with biliary colic and choledocholithiasis underwent laparoscopic cholecystectomy.
  • Preoperative imaging, including ultrasound and ERCP (Endoscopic Retrograde Cholangiopancreatography), did not identify the presence of a triple gallbladder.
  • The triple gallbladder anomaly was discovered during the laparoscopic procedure.

Findings:

  • The case represents the first documented instance of a laparoscopic excision of a triple gallbladder.
  • Pathological examination confirmed the diagnosis of a triple gallbladder.
  • The patient experienced an uncomplicated postoperative recovery and remained symptom-free.

Implications:

  • This case underscores the critical role of meticulous preoperative and perioperative imaging in identifying and managing rare biliary tract anomalies.
  • Laparoscopic approaches can be safely employed for the dissection and excision of complex congenital gallbladder abnormalities.
  • Enhanced diagnostic vigilance is crucial for surgical planning in cases of unusual biliary anatomy.