左侧胆囊患者急性胆囊炎的腹腔镜胆囊切除术：病例报告
Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report.
作者信息
Hirohata Ryosuke, Abe Tomoyuki, Amano Hironobu, Kobayashi Tsuyoshi, Nakahara Masahiro, Ohdan Hideki, Noriyuki Toshio
机构信息
Department of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, 722-8508, Japan.
Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
出版信息
Surg Case Rep. 2019 Apr 5;5(1):54. doi: 10.1186/s40792-019-0614-9.
BACKGROUND
Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. Here, we describe a case of left-sided gallbladder with acute cholecystitis treated by laparoscopic cholecystectomy.
CASE PRESENTATION
An 86-year-old man with acute upper abdominal pain was admitted to our hospital. Computed tomography demonstrated that the gallbladder was centrally dislocated and the wall enhancement was discontinued. Magnetic resonance cholangiopancreatography showed that the gallbladder wall was thickened and abnormally swollen. A laparoscopic cholecystectomy was performed. The round ligament was attached to the right side of the gallbladder, and the left-sided gallbladder was diagnosed by intraoperative findings. The patient was discharged 5 days after surgery without postoperative complications.
CONCLUSIONS
A flexible and optimal port site should be inserted in cases of left-sided gallbladder with acute cholecystitis. An assessment of the extra- and intrahepatic biliary system is essential to avoid biliary injury in cases of left-sided gallbladder with acute cholecystitis.
背景
左侧胆囊是一种相对罕见的解剖变异，常与胆道系统异常相关。在此，我们描述一例通过腹腔镜胆囊切除术治疗的左侧胆囊合并急性胆囊炎的病例。
病例介绍
一名86岁急性上腹痛男性入住我院。计算机断层扫描显示胆囊中心移位且壁强化中断。磁共振胰胆管造影显示胆囊壁增厚且异常肿胀。行腹腔镜胆囊切除术。圆韧带附着于胆囊右侧，术中发现确诊为左侧胆囊。患者术后5天出院，无术后并发症。
结论
对于左侧胆囊合并急性胆囊炎的病例，应插入灵活且最佳的穿刺点。评估肝内外胆道系统对于避免左侧胆囊合并急性胆囊炎病例中的胆道损伤至关重要。
Zotero 插件