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Laparoscopic Cholecystectomy for a Patient with Left-sided Gallbladder
Tsutomu Namikawa1, Kohei Tamura2, Masao Morita2
1Department of Surgery, Kochi Medical School, Nankoku, Japan.
Surgical Technology International
|June 10, 2015
Summary
A rare left-sided gallbladder was discovered during surgery for gallstones. Surgeons successfully removed the gallbladder laparoscopically, highlighting the importance of recognizing anatomical variations for safe procedures.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Biliary sludge in the gallbladder can cause epigastric pain.
- Laparoscopic cholecystectomy is a common surgical procedure for gallbladder removal.
Observation:
- A patient presented with epigastric pain due to biliary sludge.
- During laparoscopic cholecystectomy, a left-sided gallbladder anomaly was identified.
- Preoperative CT confirmed the gallbladder's unusual position left of the round ligament, attached to the liver's left lateral segment.
Findings:
- The left-sided gallbladder was successfully removed using a standard laparoscopic approach with careful dissection.
- The patient experienced an uneventful recovery and was discharged on postoperative day two.
Implications:
- Awareness of gallbladder anatomical variations, such as a left-sided position, is crucial for surgeons.
- Understanding associated portal and biliary anomalies is essential for safe laparoscopic cholecystectomy in such cases.
