Clinical significance and characteristics of left-sided gallbladder: case series study of 10 patients
| العنوان: | Clinical significance and characteristics of left-sided gallbladder: case series study of 10 patients |
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| المؤلفون: | Doo-Ho Lee, Joo Seop Kim, Doojin Kim, Yeon Ho Park |
| المصدر: | Annals of Surgical Treatment and Research |
| بيانات النشر: | The Korean Surgical Society, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Bile duct, business.industry, medicine.medical_treatment, Gallbladder, 030230 surgery, Gallbladder Stone, Surgery, Laparoscopic cholecystectomy, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Anatomic variation, medicine, Hepatectomy, Original Article, 030211 gastroenterology & hepatology, Clinical significance, business, Case series, Rare disease |
| الوصف: | 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. |
| تدمد: | 2288-6796 2288-6575 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7340a8ddcf6c66d521e5627989d33330Test https://doi.org/10.4174/astr.2019.97.6.302Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7340a8ddcf6c66d521e5627989d33330 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22886796 22886575 |
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