Ameliyat sırasında saptanan sol yerleşimli safra kesesinde laparoskopik kolesistektomi

Yıl 2019, , 419 - 420, 28.05.2019

Yahya Kemal Çalışkan , Fatih Başak , Abdullah Şişik

https://doi.org/10.28982/josam.570899

Öz

Safra kesesinin karaciğerin sol lateral segmentinin alt yüzüne yerleşmesi durumu sol yerleşimli safra kesesi olarak tanımlanmıştır. Nadir görülen kalıtsal bir anomali olup, sağ yerleşimli ligamentum teres ile birlikte görülebilmektedir. Yerleşim anomalisi olgularında damarsal ve safra yolları anomalisi görülebilmektedir. Laparoskopik kolesistektomi ameliyatında standart olarak uygulanan kalot üçgeninin tam diseksiyonu anomali olgularında da ameliyat güvenliği için önemlidir. Bu çalışmada ameliyat esnasında saptanan sol yerleşimli safra kesesi olgusunda yapılan laparoskopik kolesistektomi ameliyatını sunmak amaçlanmıştır.

Anahtar Kelimeler

Safra kesesi, Varyasyon, Laparoskopik kolesistektomi

Laparoscopic cholecystectomy in left-sided gallbladder detected during operation

Öz

The case where the gallbladder was located on the lower face of the left lateral segment of the liver was defined as a left-sided gallbladder. It is a rare hereditary anomaly and can be seen with the right-sided ligamentum teres. Vascular and biliary anomalies can be seen in the cases of placement anomaly. Full dissection of the calot’s triangle applied as a standard in laparoscopic cholecystectomy is important for the safety of the cases in anomaly cases. In this study, we aimed to present a laparoscopic cholecystectomy performed in a case of a left-sided gallbladder detected during surgery.

Anahtar Kelimeler

Gallbladder, Variation, Laparoscopic cholecystectomy

Kaynakça

• 1. Idu M, Jakimowicz J, Iuppa A, Cuschieri A. Hepatobiliary anatomy in patients with transposition of the gallbladder: implications for safe laparoscopic cholecystectomy. Br J Surg. 1996;83:1442-3.
• 2. Nagai M, Kubota K, Kawasaki S, Takayama T, Bandai Y, Makuuchi M. Are left-sided gallbladders really located on the left side? Ann Surg. 1997;225:274-80.
• 3. Maetani Y, Itoh K, Kojima N, et al. Portal vein anomaly associated with deviation of the ligamentum teres to the right and malposition of the gallbladder. Radiology. 1998;207:723-8.
• 4. Hsu SL, Chen TY, Huang TL, et al. Left-sided gallbladder: its clinical significance and imaging presentations. World J Gastroenterol. 2007;13:6404-9.
• 5. Wong LS, Rusby J, Ismail T. Left-sided Gall Bladder: A Diagnostic and Surgical Challenge. ANZ J Surg. 2001;71:557–8.
• 6. Kubo S, Lee S, Yamamoto T, Edagawa A, Kinoshita H. Left-sided Gallbladder Associated with Anomalous Branching of the Portal Vein Detected by Sonography. J Osaka Cty Med Cntr. 2000;46:95-8.
• 7. Matsumura N, Tokumura H, Yasumoto A, et al. Laparoscopic cholecystectomy and common bile duct exploration for cholecystocholedocholithiasis with a left-sided gallbladder: report of a case. Surg Today. 2009;39:252e255.
• 8. Hasbahceci M, Erol C, Seker M, Basak F, Alimoglu O. Standard laparoscopic cholecystectomy for malposition of the gallbladder caused by right-sided ligamentum teres. J Minim Access Surg. 2013 Oct;9(4):177-9.