Koszman Bogusław
Pol Przegl Chir. 2014 Dec 18;86(9):433-5. doi: 10.2478/pjs-2014-0077.
Gall-bladder duplication is a rare anatomical variation, which can affect safe performance of cholecystectomy and be a cause of persistent symptoms and a need for reoperation in case of accessory gall-bladder omission. A case of successfully performed elective laparoscopic cholecystectomy in a patient with duplicated gall-bladder accidentally intraoperatively disclosed is presented. The identified anomaly was classified according to the Harlaftis Classification of Multiple Gall-bladders. Attention was drawn to the uneffectivenes of ultrasound scanning in multiple gall-bladders preoperative detecting, and presence of other non-biliary anatomical variation in the same individual as well.
胆囊重复是一种罕见的解剖变异,它会影响胆囊切除术的安全实施,并且在遗漏副胆囊的情况下可能导致持续症状以及需要再次手术。本文介绍了一例术中意外发现胆囊重复的患者成功进行择期腹腔镜胆囊切除术的病例。所发现的异常根据哈拉夫蒂斯多胆囊分类法进行了分类。文中提请注意超声扫描在术前检测多胆囊方面的无效性,以及同一个体中存在其他非胆道解剖变异的情况。