Abstract
Introduction: Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. In patients with LSGB, LC is associated with a higher incidence of bile duct injury (4.4%), necessitating the establishment of a safe surgical approach in these patients. Here, we describe a case of left-sided gallbladder with cirrhotic liver treated by using an ICG fluorescence cholangiography during laparoscopic cholecystectomy. Method & Results: 62-year-old man with gallbladder adenomyoma was admitted to our hospital. Computed tomography demonstrated that the gallbladder was centrally dislocated and left-sided gallbladder with right-sided ligamentum teres. 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 (figure 1.). The patient was discharged 2 days after surgery without postoperative complications. Conclusions: ICG fluorescence cholangiography should be used in cases of left-sided gallbladder during laparoscopic cholecystectomy. An assessment of the extra- and intrahepatic biliary system is essential to avoid biliary injury in cases of left-sided gallbladder.
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