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Laparoscopic cholecystectomy for left-sided gallbladder.

Yun Kyung Jung1, Dongho Choi1, Kyeong Geun Lee2

  • 1Department of Surgery, College of Medicine, Hanyang University, Wansimni-ro 222, Seongdong-gu, Seoul, 04763, Republic of Korea.

Langenbeck'S Archives of Surgery
|July 9, 2021
PubMed
Summary
This summary is machine-generated.

Left-sided gallbladder (LSGB) is a rare anomaly. Laparoscopic cholecystectomy (LC) is safe for LSGB, but surgeons must be aware of potential bile duct injury and associated anomalies.

Keywords:
Anatomic variationGallbladder diseaseLaparoscopic cholecystectomyLeft-sided gallbladder

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Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Congenital Anomalies

Background:

  • Left-sided gallbladder (LSGB) is a rare congenital anomaly where the gallbladder is situated on the left side of the falciform ligament.
  • This condition is typically discovered incidentally during surgical procedures for gallbladder disease.

Purpose of the Study:

  • To evaluate the safety and outcomes of laparoscopic cholecystectomy (LC) in patients with left-sided gallbladder (LSGB).
  • To review the anatomical implications and associated variations in patients diagnosed with LSGB.

Main Methods:

  • A retrospective analysis of 13 patients diagnosed with LSGB who underwent LC between August 2007 and December 2019.
  • Data collected included patient demographics, perioperative outcomes, and findings from imaging workups.

Main Results:

  • LSGB was identified in 0.26% of 4910 LC procedures.
  • LC was successfully performed in most cases using a standard four-trocar technique with critical view of safety (CVS).
  • Complications included one common bile duct injury with early common bile duct bifurcation and one conversion to open surgery due to severe fibrosis. All patients exhibited abnormal intrahepatic portal venous branching postoperatively.

Conclusions:

  • Laparoscopic cholecystectomy (LC) is a safe and effective treatment for left-sided gallbladder (LSGB).
  • Surgeons encountering LSGB must maintain high vigilance for potential bile duct injury and associated anatomical variations, including abnormal venous branching.