지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.6
- 발행연도
- 2019.12
- 수록면
- 302 - 308 (7page)
이용수
초록· 키워드
오류제보하기
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.
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.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Zografos GC / 2009 / Management of incidental left-sided gallbladder / JSLS 13:273~275
Idu M / 1996 / Hepatobiliary anatomy in patients with transposition of the gallbladder : implications for safe laparoscopic cholecystectomy / Br J Surg 83:1442~1443
Nagai M / 1997 / Are leftsided gallbladders really located on the left side / Ann Surg 225:274~280
Maetani Y / 1998 / Portal vein anomaly associated with deviation of the ligamentum teres to the right and malposition of the gallbladder / Radiology 207:723~728
Hsu SL / 2007 / Left-sided gallbladder : its clinical significance and imaging presentations / World J Gastroenterol 13:6404~6409
Idu M / 1996 / Hepatobiliary anatomy in patients with transposition of the gallbladder : implications for safe laparoscopic cholecystectomy / Br J Surg 83:1442~1443
Nagai M / 1997 / Are leftsided gallbladders really located on the left side / Ann Surg 225:274~280
Maetani Y / 1998 / Portal vein anomaly associated with deviation of the ligamentum teres to the right and malposition of the gallbladder / Radiology 207:723~728
Hsu SL / 2007 / Left-sided gallbladder : its clinical significance and imaging presentations / World J Gastroenterol 13:6404~6409
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