DOUBLE GALLBLADDER OPERATED SUCCESSFULLY LAPAROSCOPICALLY Ì DISCUSSION ON THE ANOMALY

Double gallbladder is a rare anatomical malformation. It can be identi ed by preoperative imaging methods, but on the other hand that doesn’t always happen. Experience shows that in such cases is expected to have other developmental abnormalities of the hepatobiliary system, especially with regard to the extrahepatic bile ducts and location of the hepatic artery and the cystic artery. Therefore, such a nding might put the operational team to the test. Described iatrogenic lesions in minimal invasive cholecystectomy do not diminish over time, which gave us reason to introduce such a clinical case. The purpose of this communication is to clarify the possible variants of this anomaly and put to the discussion – “how far with the laparoscopic technique?” We present the case of a young woman suffering from biliary crises for several years. Echographically caliculi can be established in the gallbladder. The double gallbladder can be identi ed intraoperatively. The operation is completed successfully laparoscopically. In conclusion, we believe that every surgical team must nd adequate balance between clinical experience with laparoscopic operations, technical equipment and opportunities on the one hand and the desire for successful completion of the surgery on the other, even if that requires conversion, in the interest of the patient’s health.