Clinical significance and characteristics of left-sided gallbladder: case series study of 10 patients
10.4174/astr.2019.97.6.302
- Author:
Doo Ho LEE
1
;
Doojin KIM
;
Yeon Ho PARK
;
Joo Seop KIM
Author Information
1. Department of Surgery, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea. drkdj@gilhospital.com
- Publication Type:Original Article
- Keywords:
Anatomic variation;
Hepatectomy;
Laparoscopic cholecystectomy
- MeSH:
Anatomic Variation;
Bile Ducts;
Cholecystectomy, Laparoscopic;
Cholecystitis, Acute;
Crossing Over, Genetic;
Female;
Gallbladder;
Hepatectomy;
Humans;
Length of Stay;
Liver;
Male;
Portal Vein;
Rare Diseases;
Retrospective Studies;
Tertiary Care Centers;
Tissue Donors
- From:Annals of Surgical Treatment and Research
2019;97(6):302-308
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aims of this case series study were to review the 10 patients who were diagnosed with left-sided gallbladder and analyze their anatomic variations in the bile duct, portal vein, and hepatic vessels. METHODS: In this case series study, 10 patients with left-sided gallbladder were retrospectively analyzed at 2 tertiary referral centers between April 2004 and May 2019. RESULTS: Mean age was 61.1 years; there were 7 women and 3 men. Ten patients underwent laparoscopic cholecystectomy for acute cholecystitis or symptomatic gallbladder stone. The mean operation time was 77.2 minutes. Three ports were used in laparoscopic cholecystectomy procedures. The mean postoperative hospital stay was 3.5 days, and there were no cases of surgery-related morbidity. Two patients had type 1 bile duct and 3 had type 3 bile duct (2 type 3B and 1 type 3A). The right posterior portal vein as the first branch of the main portal vein was observed in all patients. Segment IV branches of the left portal vein crossing over to the segment VIII territory were observed in 7 of the 10 patients. CONCLUSION: Although left-sided gallbladder is a very rare disease, it is possible to diagnose it preoperatively and perform laparoscopic cholecystectomy safely by adjusting port position. The common important features of left-sided gallbladder include distribution of the left portal vein crossing over to the right side of the liver and increased size of the left portal vein. These variations may have important clinical implications in the management of hepatic resection including donor hepatectomy.
