To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is...To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is located on the visceral surface of the left lobe of the liver and is often discovered unexpectedly during surgery.The position of the gallbladder over the liver pedicle and the simultaneous presence of variations in the liver vascularization are potentially associated to a challenging surgical dissection and consequently to an increased risk of morbidity.Despite open approach remains an option in more complex procedures,cholecystectomy is usually performed with a minimally invasive technique,which is generally safe even in the rare case of an LSG,as long as a high level of awereness of anatomical variations and a careful surgical dissection are pursued.展开更多
Bipartite liver is a rare congenital anomaly without phylogenetic significance,which needs to be known for the potential risk of torsion or internal gastrointestinal herniation and also in the pre-operative planning o...Bipartite liver is a rare congenital anomaly without phylogenetic significance,which needs to be known for the potential risk of torsion or internal gastrointestinal herniation and also in the pre-operative planning of liver surgery,being potentially associated to complex surgical dissection of the hepatic hilum.展开更多
文摘To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is located on the visceral surface of the left lobe of the liver and is often discovered unexpectedly during surgery.The position of the gallbladder over the liver pedicle and the simultaneous presence of variations in the liver vascularization are potentially associated to a challenging surgical dissection and consequently to an increased risk of morbidity.Despite open approach remains an option in more complex procedures,cholecystectomy is usually performed with a minimally invasive technique,which is generally safe even in the rare case of an LSG,as long as a high level of awereness of anatomical variations and a careful surgical dissection are pursued.
文摘Bipartite liver is a rare congenital anomaly without phylogenetic significance,which needs to be known for the potential risk of torsion or internal gastrointestinal herniation and also in the pre-operative planning of liver surgery,being potentially associated to complex surgical dissection of the hepatic hilum.
