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Laparoscopic cholecystectomy in left-sided gallbladder

Yun Kyung Jung, Dongho Choi, Hwon Kyum Park, Kyeong Geun Lee. College of Medicine, Hanyang University

Introduction: Left-sided gallbladder (LSGB) is one of rare congenital anomalies in gallbladder and defined as a gallbladder located on left side of falciform ligament without situs inversus. Although there has been remarkable development on diagnostic imaging tools, almost left-sided gallbladder was found intraoperatively, not preoperatively.

Methods: Of 2,657 patients who underwent laparoscopic cholecystectomy (LC) for the treatment of gallbladder disease between August 2007 and December 2016, 7 patients (0.26%) were diagnosed as left-sided gallbladder. All LSGBs were found incidentally during LC and reviewed the preoperative computed tomography (CT) for finding evidence of LSGB and associated anomaly.

Results: All of 7 patients were men and mean age was 52.4 years (from 24 to 69). All patients had laparoscopic cholecystectomy for gallbladder disease (5 due to acute cholecystitis, 2 due to gallbladder polyp). In all cases, the gallbladder was located on the left side of falciform ligament. The operation was performed successfully with standard 4-trocar technique with confirming “critical view of safety (CVS)” as usual without 1 case. In 1 case which had a intraoperative complication and needed choledochojejunostomy due to common bile duct injury, there was an associated anomaly called double common bile duct. Furthermore, in reviewing CT after operation, abnormal intrahepatic portal venous branching was found in all cases.

Conclusion: LSGB can be managed with laparoscopic cholecystectomy with CVS successfully. However, surgeons who found left-sided gallbladder have to make efforts to be aware of the possibility of associated anomalies.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87750

Program Number: P109

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

42

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