Laparoscopic cholecystectomy for a left-sided gallbladder Review uri icon

Overview

MeSH Major

  • Cholecystectomy, Laparoscopic
  • Gallbladder
  • Gallstones

abstract

  • Cholecystectomy is a common procedure. Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer. Despite frequent pre-operative imaging, the aberrant location of the gallbladder is commonly discovered at surgery. This article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain. A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right side. The presence of a left sided gall bladder is often associated with various biliary, portal venous and other anomalies that might lead to intra-operative injuries. The spectrum of unusual positions and anatomical gallbladder abnormalities is reviewed in order to facilitate elective and emergent cholecystectomy as well as other hepatobiliary procedures. With proper identification of the anatomy, minimally invasive approaches are still considered safe.

publication date

  • September 21, 2013

Research

keywords

  • Review

Identity

Language

  • eng

PubMed Central ID

  • PMC3793148

Digital Object Identifier (DOI)

  • 10.3748/wjg.v19.i35.5925

PubMed ID

  • 24124340

Additional Document Info

start page

  • 5925

end page

  • 8

volume

  • 19

number

  • 35