title: Management of gallbladder duplication using a single-site robotic-assisted approach: a case study.
abstract: Gallbladder duplication is a rare congenital anomaly. Here, we describe a 29-year-old female who presents with classic symptoms of biliary colic. A duplicated gallbladder was recognized on preoperative ultrasound. This case report reviews a single-site robotic-assisted cholecystectomy with a cystic duct duplication. The patient underwent the surgery without complication. Due to the aberrant anatomy of the cystic triangle, it was decided to mobilize the gallbladder in a dome-down fashion. True gallbladder duplication can be categorized according to cystic duct orientation based on Boyden's classification. Preoperative diagnosis is essential to prevent surgical complications. A laparoscopic approach can be carried out safely in the hands of a skilled surgeon. This case report shows that the robotic-assisted surgical approach is a viable and safe alternative.
authors.affiliation: Department of Surgery, Inspira Medical Center, 1505 West Sherman Ave, Vineland, NJ, 08360, USA. adamsm1@ihn.org.
authors.forename: Melanie Adams
authors.initials: MA
authors.lastname: Boyle
authors.affiliation: Department of Surgery, Inspira Medical Center, 1505 West Sherman Ave, Vineland, NJ, 08360, USA.
authors.forename: Aviva Wallace
authors.initials: AW
authors.lastname: Kaplin
authors.affiliation: Department of Surgery, Inspira Medical Center, 1505 West Sherman Ave, Vineland, NJ, 08360, USA.
authors.forename: Leon
authors.initials: L
authors.lastname: Kushnir
authors.affiliation: Department of Surgery, Inspira Medical Center, 1505 West Sherman Ave, Vineland, NJ, 08360, USA.
authors.forename: Per
authors.initials: P
authors.lastname: Montero-Pearson
mesh_terms: D000328:Adult; D001660:Biliary Tract Diseases / Q000209:etiology / Q000601:surgery; D002763:Cholecystectomy / Q000379:methods*; D003085:Colic / Q000209:etiology / Q000601:surgery; D003549:Cystic Duct / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005260:Female; D005704:Gallbladder / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D065287:Robotic Surgical Procedures / Q000379:methods*; D014463:Ultrasonography
keywords: Biliary colic; Gallbladder duplication; Robotic-assisted cholecystectomy; Single-site robotic surgery