Surgical implications of a left-sided gallbladder

Strong, R.W., Fawcett, J., Hatzifotis, M., Hodgkinson, P., Lynch, S., O'Rourke, T., Slater, K. and Yeung, S. (2013) Surgical implications of a left-sided gallbladder. American Journal of Surgery, 206 1: 59-63. doi:10.1016/j.amjsurg.2012.10.035

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Author Strong, R.W.
Fawcett, J.
Hatzifotis, M.
Hodgkinson, P.
Lynch, S.
O'Rourke, T.
Slater, K.
Yeung, S.
Title Surgical implications of a left-sided gallbladder
Journal name American Journal of Surgery   Check publisher's open access policy
ISSN 0002-9610
Publication date 2013-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.amjsurg.2012.10.035
Open Access Status Not Open Access
Volume 206
Issue 1
Start page 59
End page 63
Total pages 5
Place of publication Philadelphia, PA, U.S.A.
Publisher Elsevier Inc.
Language eng
Subject 2746 Surgery
Abstract Background: A left-sided gallbladder in a normally positioned liver is considered to be a very uncommon anomaly. Laparoscopic cholecystectomy can be performed safely, but bile duct injury is not unusual. It is associated with anomalous intrahepatic portal and biliary systems which impacts any form of partial hepatectomy. Methods: We performed a retrospective review of patients with left-sided gallbladder who were managed by the hepatobiliary surgeons at our institution since 1996. Results: Nineteen patients with left-sided gallbladder underwent a hepatobiliary procedure. Of the 13 patients with gallstones, only 1 was diagnosed before cholecystectomy. Nine operations were completed laparoscopically, whereas 4 required an open procedure. Two patients were referred with bile duct injuries. There was 1 liver resection for a colorectal metastasis. Left-sided gallbladders in 3 deceased organ donors resulted in major implications in the performance of liver transplantation. Conclusions: Left-sided gallbladders are probably more common than generally believed but are rarely diagnosed before cholecystectomy. Associated bile duct injury appears to be not infrequent. Because of the aberrant vasculobiliary anatomy, any form of liver resection requires careful planning.
Keyword Bile duct injury
Hepatic resection
Intrahepatic portal
Left-sided gallbladder
Preoperative diagnosis
Venous and biliary systems
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Medicine Publications
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Created: Tue, 04 Feb 2014, 00:31:02 EST by Matthew Lamb on behalf of School of Medicine