Abongwa LK, et al. – Researchers here aimed to outline empirical top tips for a safe cholecystectomy in incidentally diagnosed left–sided gallbladder without situs viscerum inversus (LSG–woSVI). As per findings, researchers conclude that increased awareness of the anatomic aberrations in LSG–woSVI associated with improved preoperative diagnosis and a good knowledge about safe surgical techniques for cholecystectomy could indubitably reduce the incidence of bile duct injury (BDI).

Methods

• A comprehensive search of PubMed using medical subject headings “left–sided gallbladder,” “right–sided ligamentum teres” “situs viscerun inversus,” “preoperative diagnoses,” “cholecystectomy,” and “bile duct injury” was performed.
• A classification of the LSG–woSVI in 2 groups was considered: True LSG–woSVI and LSG–woSVI in patients with right–sided ligamentum teres.

Results

• Researchers identified 55 cases of LSG–woSVI in this retrospective review.
• The mean age of the cases was 51 years ±17 SD, male/female ratio was 2:1, clinical presentation was pain in the right upper abdominal quadrant in 75.5%, preoperative diagnosis was reached in 16.3%,
• True LSG was diagnosed in 83% cases and acute cholecystitis was observed in 50%.
• 79.6% cases underwent laparoscopic cholecystectomy and 16.7% underwent fundus–first dissection technique.
• Intraoperative cholangiography was performed in 39.1%, and BDI occurred in 7.3% of the reported cases.