Page 18 - JCTR-10-1

14 Lunevicius et al. | Journal of Clinical and Translational Research 2024;10(1) 9-17
Two limitations of this case study should be acknowledged. Cai H, Praseedom R, Wang T, et al. Comprehensive
First, we were unable to obtain systematic data on the occurrence Classification of Anatomical Variants of the Main Biliary
of the left-sided gallbladder in our institution, which is a large Ducts. Br J Surg 2021;108:458-62.
hepatobiliary and general emergency surgery center for the region. doi: 10.1093/bjs/znaa147
The absence of figures indicating clinical and histopathological [3] Banchini F, Capelli P. Left Side Gallbladder: Clinical and
correlations is another limitation of this paper. However, the Anatomical Implication. Liver Pathology. London, UK:
key messages arising from this paper are fully supported by the IntechOpen; 2021.
clinical information provided and the discussion points. doi: 10.5772/intechopen.92000

4. Conclusions [4] Jung YK, Choi D, Lee KG. Laparoscopic Cholecystectomy
for Left-Sided Gallbladder. Langenbecks Arch Surg
Iatrogenic bile duct injury rates are the highest in the 2022;407:207-12.
subpopulation of patients with left-sided gallbladder. A left-sided doi: 10.1007/s00423-021-02263-0
gallbladder, therefore, should be considered a risk factor. Subtotal [5] Pereira R, Singh T, Avramovic J, Baker S, Eslick GD,
cholecystectomy, especially in an emergency surgery setting, is an Cox MR. Left-sided Gallbladder: A Systematic Review of
alternative to total cholecystectomy to avoid gallbladder surgery- a Rare Biliary Anomaly. ANZ J Surg 2019;89:1392-7.
related risks and prevent a patient from iatrogenic injuries to the
bile ducts when a safe cholecystectomy cannot be performed doi: 10.1111/ans.15041
due to a lack of clarity or knowledge on the extrahepatic biliary [6] Abongwa HK, De Simone B, Alberici L, Iaria M, Perrone G,
anatomy, which might deviate from the typical anatomy in patients Tarasconi A, et al. Implications of Left-sided Gallbladder
with left-sided gallbladder. It is essential to discuss with patients in the Emergency Setting: Retrospective Review and
about managing the left-sided gallbladder during the consent- Top Tips for Safe Laparoscopic Cholecystectomy. Surg
taking step. Laparosc Endosc Percutan Tech 2017;27:220-7.
doi: 10.1097/SLE.0000000000000417
Acknowledgments [7] Lunevicius R, Haagsma JA. Supplementary Material to

None. ‘Subtotal Cholecystectomy: Results of a Single-Centre,
Registry-Based Retrospective Cohort Study of 180 Adults
Funding in 2011-2018. Version 1; 2020.

Not applicable. doi: 10.17632/khv3b7b6wf.1 Available from: https://data.
mendeley.com/datasets/khv3b7b6wf/1 [Last accessed on
Conflict of Interest 2024 Jan 15].
[8] Nzenwa IC, Mesri M, Lunevicius R. Risks Associated with
The authors declare no competing interests in relation to the
publication of this work. Subtotal Cholecystectomy and the Factors Influencing
Them: A Systematic Review and Meta-Analysis of 85
Ethics Approval and Consent to Participate Studies Published Between 1985 and 2020. Surgery
2021;170:1014-23.
This case report was not classified as an object for approval by doi: 10.1016/j.surg.2021.03.036
the local ethics, research, or clinical audit committee according [9] Lunevicius R. Review of the Literature on Partial Resections
to local policies. Informed consent in written form was obtained of the Gallbladder, 1898-2022: The Outline of the
from the patient before drafting the paper.
Conception of Subtotal Cholecystectomy and a Suggestion
Consent for Publication to Use the Terms “Subtotal Open-Tract Cholecystectomy”
and “Subtotal Closed-Tract Cholecystectomy”. J Clin Med
Informed consent was obtained from the patient. 2023;12:1230.
Availability of Data doi: 10.3390/jcm12031230
[10] Okamoto K, Suzuki K, Takada T, Strasberg SM, Asbun
Additional data are available from the corresponding author HJ, Endo I, et al. Tokyo Guidelines 2018: Flowchart for
upon reasonable request. the Management of Acute Cholecystitis. J Hepatobiliary
References Pancreat Sci 2018;25:55-72.
doi: 10.1002/jhbp.516. Erratum in: J Hepatobiliary
[1] Yoshida J, Chijiiwa K, Yamaguchi K, Yokohata K, Pancreat Sci 2019;26:534.
Tanaka M. Practical Classification of the Branching Types [11] Idu M, Jakimowicz J, Iuppa A, Cuschieri A. Hepatobiliary
of the Biliary Tree: An Analysis of 1,094 Consecutive Anatomy in Patients with Transposition of the Gallbladder:
Direct Cholangiograms. J Am Coll Surg 1996;182:37-40. Implications for Safe Laparoscopic Cholecystectomy. Br J
[2] Janssen BV, van Laarhoven S, Elshaer M, Surg 1996;83:1442-3.
DOI: https://doi.org/10.36922/jctr.00128