Abstract
A gallbladder (GB) lying on the left side of the round ligament is said to be rare. Of 2569 patients who underwent cholecystectomy, 12 patients (0.47%) having the left-sided GB underwent laparoscopic cholecystectomy (LC). The patients consisted of 9 men and 3 women, with a mean age of 42.2 years. All patients were successfully treated with laparoscopic surgery. In all of them, lifting the round ligament (RL) and inserting the sub-xyphoid port in the left side of RL were conducted. Dissection was started from Calot's triangle in earlier 5 patients, but it was too difficult to dissect. Therefore, initial dissection was conducted from the liver bed in later 7 patients. The cystic artery was usually found in the GB bed. Mean operating time was 152 minutes, with no postoperative morbidity. All patients had a right-sided umbilical portion in our series. LC can be done safely and successfully even for the left-sided GB, taking a few technical modifications as mentioned above.
