Japanese

Left-sided gallbladder treated by laparoscopic cholecystectomy : a case report Yusuke MIZUUCHI 1 , Kazuyoshi NISHIHARA 1 , Reiko TANABE 1 , Kenichirou KOGA 1 , Hiroaki MATSUNAGA 1 , Toru NAKANO 1 1Department of Surgery, Kitakyushu Municipal Medical Center Keyword: 左側胆囊 , 腹腔鏡下胆囊摘出術 pp.107-111
Published Date 2011/2/15
DOI https://doi.org/10.11477/mf.4426100597
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 We report a case of left-sided gallbladder(LSG)treated by laparoscopic cholecystectomy(LC). A 36-year-old woman with cholelithiasis was admitted to our hospital. Magnetic resonance imaging revealed gall bladder stones with LSG, and LC was performed. Intraoperative findings showed that the fundus of gallbladder was adhered to the liver bed at left side of the hepatic round ligament. For safe LC in patients with LSG, we made following efforts. First, 5 mm port at subxiphoid was placed more on the left side than usual. Secondly, the round ligament was retracted by a thread fold via the abdominal wall. Thirdly, the body of the gallbladder was retracted to the right cranial side to expose the Calot's triangle. Finaily, the operator stood on the right side of the patient while dissecting the fundus of the gallbladder. A LSG is often associated with anomalies of the bile duct, artery and portal vein. When performing LC for LSG, we must take extra care to avoid the bile duct and vessel injury.


Copyright © 2011, 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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