Management of gallbladder duplication using a single-site robotic-assisted approach: a case study
Melanie Adams Boyle1, Aviva Wallace Kaplin2, Leon Kushnir2
1Department of Surgery, Inspira Medical Center, 1505 West Sherman Ave, Vineland, NJ, 08360, USA. adamsm1@ihn.org.
Abstract:
Gallbladder duplication is a rare congenital anomaly. Here, we describe a 29-year-old female who presents with classic symptoms of biliary colic. A duplicated gallbladder was recognized on preoperative ultrasound. This case report reviews a single-site robotic-assisted cholecystectomy with a cystic duct duplication. The patient underwent the surgery without complication. Due to the aberrant anatomy of the cystic triangle, it was decided to mobilize the gallbladder in a dome-down fashion. True gallbladder duplication can be categorized according to cystic duct orientation based on Boyden's classification. Preoperative diagnosis is essential to prevent surgical complications. A laparoscopic approach can be carried out safely in the hands of a skilled surgeon. This case report shows that the robotic-assisted surgical approach is a viable and safe alternative.


