1997
DOI: 10.1007/s004649900397
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Gallbladder and cystic duct absence

Abstract: Gallbladder absence is an infrequent anomaly normally accompanied by lack of the cystic duct. Of unknown etiology, in general it is accepted to be a congenital malformation. A male patient (age 59) diagnosed with nonfunctional symptomatic scleroatrophic gallbladder by echography and ERCP was operated on using a laparoscopic approach. Gallbladder and cystic absence was diagnosed during the procedure. A new case of gallbladder and cystic duct absence, diagnosed by laparoscopy, is presented. This type of extrahep… Show more

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Cited by 24 publications
(17 citation statements)
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“…In fact, lots of “laparoscopic” diagnoses are reported in the literature. [37] If the diagnosis of GA is made during operation, the surgeon must prove GA by examining the most common sites for ectopic gallbladder (intrahepatic, retrohepatic, on the left side, within the leaves of the lesser omentum, within the falciform ligament, retroduodenal, retropancreatic, retroperitoneal). [5] Therefore, these patients are exposed to complications from prolonged exploration and it is suggested to abort the procedure rather than complete further exploration, if a gallbladder is not found on laparoscopy, since open exploration for possible ectopic gallbladder increases the risk of complications.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, lots of “laparoscopic” diagnoses are reported in the literature. [37] If the diagnosis of GA is made during operation, the surgeon must prove GA by examining the most common sites for ectopic gallbladder (intrahepatic, retrohepatic, on the left side, within the leaves of the lesser omentum, within the falciform ligament, retroduodenal, retropancreatic, retroperitoneal). [5] Therefore, these patients are exposed to complications from prolonged exploration and it is suggested to abort the procedure rather than complete further exploration, if a gallbladder is not found on laparoscopy, since open exploration for possible ectopic gallbladder increases the risk of complications.…”
Section: Discussionmentioning
confidence: 99%
“…Combined with the rarity of the condition, the diagnosis is infrequently made preoperatively, and so the patient undergoes unnecessary operative intervention. Intraoperatively, the risk of iatrogenic injury is higher, and so the associated morbidity of the procedure is greater [5]. …”
Section: Introductionmentioning
confidence: 99%
“…A few experts recommend conversion to laparotomy during surgical procedure to facilitate an accurate investigation of heterotopic sites of gallbladder 6. Other investigators proposed intraoperative cholangiograhy or invasive procedure of the bile duct1714 while others discourage these approaches due to possible complications and recommend further radiological investigation 115…”
Section: Discussionmentioning
confidence: 99%