A case of single-incision laparoscopic cholecystectomy for a patient with right-sided round ligament Takanobu ONODA 1 , Atsuko MATSUYAMA 1 , Takahiro WATANABE 1 , Masashi NOZAWA 1 , Masanori SATO 1 , Hidetoshi WADA 1 1Department of General and Laparoscopic Surgery, Hamamatsu University Hospital Keyword: 右側肝円索 , 左側胆囊 , 単孔式腹腔鏡下胆囊摘出術 pp.319-325
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200406
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We report two cases of acute cholecystitis with a right-sided round ligament(RL), treated by single-port laparoscopic cholecystectomy(SPLC). Case1 : A 58-year-old man with epigastralgia was admitted to our hospital and diagnosed with acute cholecystitis. SPLC was performed. Because the gallbladder(GB) was close to the RL, we were able to dissect it from the liver bed by lifting the RL with only 3 trocars. Case2 : A 67-year-old man was diagnosed with acute cholecystitis and performed cholecystectomy. We started SPLC but additional 3 trocars were inserted intraoperatively because the neck was difficult to see and primarily dissected the GB from the liver bed. In both cases, starting initial dissection from the liver bed was effective to identify the cystic duct. Also in performing SPLC, lifting the RL enabled us to reduce the forceps necessary to lift the GB, as well as interference with other forceps.

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