We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Left-sided Gallbladder in the Era of Laparoscopic Cholecystectomy: A Single-center Experience.
- Authors
VELIMEZIS, GEORGIOS; VASSOS, NIKOLAOS; KAPOGIANNATOS, GEORGIOS; KORONAKIS, DIMITRIOS; SALPIGGIDIS, CHRISTOS; PERRAKIS, EVANGELOS; PERRAKIS, ARISTOTELIS
- Abstract
The malposition of gallbladder under the liver segment III, defined as left-sided gallbladder (LSG), is an unexpected situation for the laparoscopic surgeon. The purpose of this study is to present our experience in treating patients with cholecystitis and LSG discovered incidentally during laparoscopic surgical procedure. Between 1993 and 2009, 5569 patients underwent laparoscopic cholecystectomy in our surgical department. Their records were reviewed and seven patients revealed having LSG (0.12%). Analysis parameters included demographic data, diagnostic methods, mode of surgery, and postoperative outcome. Mean follow-up was 140 months. Of the seven patients, five were women. Mean patient age was 56.7 years. All patients were referred to our department with clinical symptoms of classic cholelithiasis and the diagnosis was established in all of them during surgery. Laparoscopic cholecystectomy was successful in five patients, while in two patients, a conversion to open procedure was needed. A postoperative complication, i.e., biliary leakage was registered in one patient, which was treated successfully. Laparoscopic cholecystectomy is safe even in LSG, but the surgeon must consider the possibility for more anatomical anomalies, adjust the technique of dissection, and must not hesitate, if in doubt, to strive for conversion to open procedure to avoid serious complications.
- Subjects
GERMANY; GALLBLADDER; CHOLECYSTECTOMY; LAPAROSCOPIC surgery; SURGICAL complications; GALLSTONES; GALLBLADDER diseases; LONGITUDINAL method; TIME; TREATMENT effectiveness; DISEASE incidence; RETROSPECTIVE studies; DISEASE complications
- Publication
American Surgeon, 2015, Vol 81, Issue 12, p1249
- ISSN
0003-1348
- Publication type
journal article
- DOI
10.1177/000313481508101227