Laparoscopic cholecystectomy and common bile duct exploration for cholecystocholedocholithiasis with a left-sided gallbladder: Report of a case

Naoki Matsumura, Hiromi Tokumura, Akihiro Yasumoto, Hiroyuki Sasaki, Mitsuo Yamasaki, Hiroaki Musya, Shoji Fukuyama, Kenichi Takahashi, Takashi Toshima, Yuji Funayama

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

A 75-year old woman was admitted to our hospital with right upper quadrant pain, vomiting, and jaundice. Laboratory findings showed elevated total bilirubin, alkaline phosphatase, γ-glutamyl transpeptidase, and Creactive protein levels. Abdominal ultrasonography (US) and drip infusion cholangiographic computed tomography (DIC-CT) showed not only cholecystocholedocholithiasis, but a gallbladder located left of the round ligament and close to the lateral segments of the liver. We performed laparoscopic cholecystectomy (LC) with choledocholithotomy for suspected cholecystocholedocholithiasis with a left-sided gallbladder. Routine ports were inserted in the American configuration for LC. The gallbladder was normogradely separated from the gallbladder fossa, and the fundus of the gallbladder was lifted ventrally and toward to the patient's right shoulder. These procedures provided the usual view for laparoscopic choledochotomy. The patient recovered uneventfully and was discharged on postoperative day 10. To our knowledge, this is the first report of laparoscopic common bile exploration in a patient with a leftsided gallbladder.

Original languageEnglish
Pages (from-to)252-255
Number of pages4
JournalSurgery today
Volume39
Issue number3
DOIs
Publication statusPublished - 2009 Mar 1

Keywords

  • Cholecystocholedocholithiasis
  • Laparoscopic common bile duct exploration
  • Left-sided gallbladder

ASJC Scopus subject areas

  • Surgery

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