Laparoscopic cholecystectomy for left-sided gallbladder

Jung, Yun Kyung; Choi, Dongho; Lee, Kyeong Geun

doi:10.1007/s00423-021-02263-0

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…Lee et al . reported that the median surgery time is 50 min (range, 35–160 min), which is less than that indicated by Jung et al ., who reported an operation time of 103 min (range, 65–240 min) [ 2 , 4 , 5 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

Ribadeneira¹,

Gordon²,

Morocho

et al. 2022

Journal of Surgical Case Reports

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True left-sided gallbladder (LSGB) is a rare congenital anomaly with an incidence of 0.1–1.2%. It is more common in women than in men at a ratio of 5:1. Its etiology is unknown, although several theories have been proposed. The symptoms are similar to those of a normal gallbladder, which makes the preoperative diagnosis difficult despite imaging studies. In most cases, the diagnosis is achieved intraoperatively. LSGB is associated with biliary anomalies, and the incidence of biliary tract lesions is high. Four-port laparoscopic cholecystectomy is a safe procedure for LSGB. Surgical technique varies according to each case. Preoperative imaging studies have low sensitivity for diagnosis, and the surgeon should be familiar with ductal and vascular anatomical variants in addition to possessing the ability to change the conventional surgical technique to optimize the exposure and minimize the risk of bile duct injury.

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Section: Discussionmentioning

confidence: 99%

Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

Ribadeneira¹,

Gordon²,

Morocho

et al. 2022

Journal of Surgical Case Reports

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“…Seventh, when in doubt, an anatomic dissection of the proximal portion of the gallbladder and cystic pedicle cannot be performed safely, or the hepatic wall of the gallbladder cannot be safely detached from surrounding tissues [25], a less-thantotal gallbladder removal should be performed [3][4][5][6]25]. At present, two medical terms are used to name a less-than-total cholecystectomy -a subtotal cholecystectomy [9] and a partial cholecystectomy [35].…”

Section: Specific Target When Planning Elective Liver Resection and T...mentioning

confidence: 99%

“…Anatomical variants within the biliary ductal system are common [1,2]; contrarily, aberrations are rare. The true left-sided gallbladder is one of them, with an estimated incidence rate of <0.3% [3,4].…”

Section: Introductionmentioning

confidence: 99%

Subtotal cholecystectomy as an approach to preventing injury in the left-sided gallbladder in the emergency surgery setting: A case study

Lunevicius,

Chawdhery,

Jones

2024

JCTR

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A left-sided gallbladder is an unusual anatomic variation that makes gallbladder surgery challenging. Two systematic reviews on surgery for left-sided gallbladder highlighted high iatrogenic bile duct injury rates of 4.4% and 7.3%. This paper reports a female in her 40s with symptoms of acute calculous cholecystitis admitted to a secondary health-care center. After inserting four ports through standard sites for conventional gallbladder surgery, laparoscopic inspection revealed a phlegmonous left-sided gallbladder. No discordant situs of abdominal viscera was noted. Laparoscopic surgery was converted to open subtotal closed-tract cholecystectomy. No post-operative complications related to the surgical site were observed. A left-sided gallbladder affected by severe inflammation and infection is an extraordinary condition that should be considered as a risk factor. If an inflamed left-sided gallbladder is encountered, emergency subtotal cholecystectomy is an alternative to total cholecystectomy when the circumstances to adopt the strategies of a culture of safety in cholecystectomy for complete removal of the gallbladder are unfavorable. Relevance for Patients: Subtotal cholecystectomy in patients with left-sided gallbladder reduces the risk for bile duct injuries, outweighing the potential side effects stemming from this surgical approach.

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“…LSGB is characterized by the findings of gall bladder to the left side of the round ligament or ligamentum teres in contrast, normally, gall bladder dwell on the gall bladder fossa, inferior to the liver between hepatic segments IVb and V, along the von Rex-Cantlie line [ 1 , 3 ]. Despite pre-operative ultrasonography being the diagnostic modality of biliary colicky pain, they often missed this clinical entity and often discovered incidentally challenging the surgical aspect while performing laparoscopic cholecystectomy [ 1 , [4] , [5] , [6] ]. In this case report, we presented an adult male diagnosed incidentally during laparoscopic cholecystectomy as having a left-sided gall bladder without situs inversus.…”

Section: Introductionmentioning

confidence: 99%

Sinistroposition: A case report on incidental finding of left sided gall bladder on laparoscopic cholecystectomy

Malla¹,

Karki²,

Bohara³

et al. 2022

Annals of Medicine &Amp; Surgery

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Laparoscopic cholecystectomy for left-sided gallbladder

Cited by 6 publications

References 23 publications

Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

Subtotal cholecystectomy as an approach to preventing injury in the left-sided gallbladder in the emergency surgery setting: A case study

Sinistroposition: A case report on incidental finding of left sided gall bladder on laparoscopic cholecystectomy

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