PMID: 8944467Oct 1, 1996Paper

Hepatobiliary anatomy in patients with transposition of the gallbladder: implications for safe laparoscopic cholecystectomy

The British Journal of Surgery
M IduA Cuschieri

Abstract

The surgical anatomy of six patients with sinistroposition of the gallbladder is described. Five of these were encountered in a consecutive series of 1764 patients undergoing laparoscopic cholecystectomy for symptomatic gallstone disease in two hospitals between 1989 and 1994, a prevalence of 0.3 per cent in patients undergoing this operation. Despite the left-sided transposition of the gallbladder, the biliary pain experienced by these patients was always on the right side. Preoperative diagnosis of this anomaly was made in only one of six patients despite routine preoperative external ultrasonography and selective preoperative cholangiography. In sinistroposition the cystic artery always crosses in front of the common bile duct from right to left. The cystic duct may open on the left or right side of the common hepatic duct. The anomaly does not preclude safe laparoscopic cholecystectomy but modifications of the port sites and use of the falciform lift facilitate the procedure in these cases. The anatomical features of the sixth case encountered in a patient undergoing resection of hilar cholangiocarcinoma indicate that sinistroposition of the gallbladder may be due to failure of development of segment IV of the liver.

References

Jan 1, 1991·Journal of Laparoendoscopic Surgery·L Campos, E Sipes
Jan 1, 1993·Surgical Endoscopy·S BantingA Cuschieri

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Citations

Sep 18, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Tricia A Moo-YoungSteven M Strasberg
Jul 15, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Miguel Angel MercadoRubén Cortés-González
Feb 22, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vishal Gupta, Abhijit Chandra
Jan 22, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Neil HopperBrian M Stephenson
Oct 15, 2013·World Journal of Gastroenterology : WJG·Mazen E IskandarI Michael Leitman
Jan 1, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Irfan Qureshi, Ziad Awad
Jun 8, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Matthew KrohR Matthew Walsh
Mar 12, 2013·Case Reports in Radiology·Hasan AydinAyşe Görmeli
Feb 26, 2013·American Journal of Surgery·Russell W StrongShinn Yeung
Jul 22, 2008·Journal of Pediatric Surgery·Rhim Si-Youn, Jung Poong-Man
Apr 26, 2005·Journal of the American College of Surgeons·Eric SavierLaurent Hannoun
Sep 30, 2014·International Journal of Surgery Case Reports·Constantinos NastosGeorge Polymeneas
Aug 31, 2001·ANZ Journal of Surgery·L S WongT Ismail
Mar 6, 2019·ANZ Journal of Surgery·Ryan PereiraMichael R Cox
Mar 8, 2018·ANZ Journal of Surgery·Gaik Si QuahArthur J Richardson
Jun 15, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hariscine K AbongwaFausto Catena
May 18, 2004·ANZ Journal of Surgery·Jamin M MulveyTerence Kelly
Dec 12, 2019·Annals of Surgical Treatment and Research·Doo-Ho LeeJoo Seop Kim
Aug 9, 2017·ANZ Journal of Surgery·Elizabeth W Tan, Mohamed Ashour
Dec 23, 2016·World Journal of Hepatology·Yusuke OmeTadashi Ito
Nov 3, 2020·Journal of Hepato-biliary-pancreatic Sciences·Fumihiro TerasakiKatsuhiko Uesaka
Jul 10, 2021·Langenbeck's Archives of Surgery·Yun Kyung JungKyeong Geun Lee

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