Laparoscopic cholecystectomy in a patient with a left-sided gallbladder and severe chronic cholecystitis : a case report Masaru KOIZUMI 1 , Naohiro SATA 1 , Naoya KASAHARA 1 , Masanobu HYODO 1 , Yoshikazu YASUDA 1 1Department of Surgery, Jichi Medical University Keyword: 左側胆囊 , 腹腔鏡下胆囊摘出術 , 慢性胆囊炎 pp.557-562
Published Date 2009/10/15
DOI https://doi.org/10.11477/mf.4426100385
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 We describe here laparoscopic cholecystectomy(LC)performed on a patient with severe chronic cholecystitis with a left-sided gallbladder. A 75-year-old woman with right subcostal pain was diagnosed with gallbladder stones by ultrasonography. Computed tomography with biliary contrast medium suggested that her intrahepatic bile ducts were abnormal, and she was found to have a left-sided gallbladder. A laparoscopic cholecystectomy was performed using the abdominal wall lifting method with 4 ports, and she was confirmed as having a left-sided gallbladder. Use of a snake retractor to suppress the duodenum and omentum and a 2-mm port for holding the round ligament of the liver was effective in widening the visual field and working space. Cholecystectomy was performed from the fundus, transecting the body to confirm the anatomy, and stones and tissue were collected in a bag by the piece by piece method. We concluded that LC was safe even in such a complicated case through accurate preoperative diagnosis and by the surgical methods described here.

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