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Laparoscopical resection of a porcelain gallbladder : a case report Yasuo SUMI 1 , Mitsuyasu TEI 1 , Etsuji SHIMADA 1 1Department of Surgery, National Hospital Organization Kobe Medical Center Keyword: 磁器様胆囊 , 腹腔鏡下胆囊摘出術 , 胆囊癌 pp.385-389
Published Date 2007/8/15
DOI https://doi.org/10.11477/mf.4426100075
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 The patient was a 65-year-old woman whose medical check-up showed the presence of a porcelain gallbladder. Since preoperative examination suggested a low possibility of gallbladder cancer as a complication, and since no clacification was observed in the cystic duct, we considered that laparoscopic cholecystectomy could be performed. There were three possible problems in the surgery : (1)adhesion of the greater omentum and the surrounding organs due to chronic inflammation, (2)difficulty in grasping the gallbladder due to consolidation and clacification of the gallbladder wall, and(3)difficulty in exfoliating the liver bed due to inflammation. However, the gallbladder was actually removed without perforation, and no malignant histological findings were found in the gallbladder. Although gallbladder cancer is a high-frequency complication of porcelain gallbladder, our case suggests that laparoscopic cholecystectomy can be performed effectively when a preoperative examination suggests a low probability of gallbladder cancer as a complication.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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