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Single Incision Laparoscopic Cholecystectomy for Gallbladder Duplication.

Kabul Gürbulak E, Özşahin H, Düzköylü Y, Akgün IE, Battal M, Gürbulak B - Case Rep Surg (2015)

Bottom Line: Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals.While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet.We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Şişli, 34371 Istanbul, Turkey.

ABSTRACT
Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

No MeSH data available.


Related in: MedlinePlus

Single cystic duct, in front of dissected cystic artery, following the dissection of Calot.
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fig4: Single cystic duct, in front of dissected cystic artery, following the dissection of Calot.

Mentions: Following a 2-cm incision, a SILS port with three 5-mm ports (Covidien, Inc., Norwalk, CT, USA) was placed through the umbilicus. Two separate gallbladders were observed at laparoscopic exploration, using a camera of 5-mm and 30° (Figure 3). By using a laparoscopic grasper, the Hartmann pouch was hung and surrounding tissues were dissected beginning from the neck with a laparoscopic dissector. After dissection of the triangle of Calot, 2 separate gallbladders were identified. Both gallbladders were fused distally, forming a common neck segment. The structure of a single cystic duct appeared (Figures 4 and 5). The cystic artery was found to originate from the right branch of hepatic artery as a single structure and moved on to the neck solely. An intraoperative cholangiography was not performed because a single cystic duct that was confirmed on preoperative radiologic imaging was clearly visible intraoperatively. Then both the cystic duct and artery were clipped and dissected safely. Two gallbladders were dissected from the liver bed in a retrograde fashion and resected en bloc from the umbilicus with the SILS port. The procedure was completed in duration of 48 minutes with no intraoperative complications encountered. The patient was discharged from the hospital on postoperative day one. Histopathologic evaluation of the dissected gallbladders revealed chronic cholecystitis, with pyloric metaplasia on the mucosa of one of the gallbladders.


Single Incision Laparoscopic Cholecystectomy for Gallbladder Duplication.

Kabul Gürbulak E, Özşahin H, Düzköylü Y, Akgün IE, Battal M, Gürbulak B - Case Rep Surg (2015)

Single cystic duct, in front of dissected cystic artery, following the dissection of Calot.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525758&req=5

fig4: Single cystic duct, in front of dissected cystic artery, following the dissection of Calot.
Mentions: Following a 2-cm incision, a SILS port with three 5-mm ports (Covidien, Inc., Norwalk, CT, USA) was placed through the umbilicus. Two separate gallbladders were observed at laparoscopic exploration, using a camera of 5-mm and 30° (Figure 3). By using a laparoscopic grasper, the Hartmann pouch was hung and surrounding tissues were dissected beginning from the neck with a laparoscopic dissector. After dissection of the triangle of Calot, 2 separate gallbladders were identified. Both gallbladders were fused distally, forming a common neck segment. The structure of a single cystic duct appeared (Figures 4 and 5). The cystic artery was found to originate from the right branch of hepatic artery as a single structure and moved on to the neck solely. An intraoperative cholangiography was not performed because a single cystic duct that was confirmed on preoperative radiologic imaging was clearly visible intraoperatively. Then both the cystic duct and artery were clipped and dissected safely. Two gallbladders were dissected from the liver bed in a retrograde fashion and resected en bloc from the umbilicus with the SILS port. The procedure was completed in duration of 48 minutes with no intraoperative complications encountered. The patient was discharged from the hospital on postoperative day one. Histopathologic evaluation of the dissected gallbladders revealed chronic cholecystitis, with pyloric metaplasia on the mucosa of one of the gallbladders.

Bottom Line: Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals.While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet.We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Şişli, 34371 Istanbul, Turkey.

ABSTRACT
Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

No MeSH data available.


Related in: MedlinePlus