ABSTRACT

Gallbladder removal is one of the most commonly performed laparoscopic procedures and can occasionally be done in the same setting with a right laparoscopic nephrectomy or adrenalectomy. Accidental injury of this organ during rightsided urologic surgery may occur, as with any other organ. Gallbladder injuries, while very rare during urologic surgery,

may occur during retraction of the liver and abdominal entry of laparoscopic instruments. If there is a laceration or puncture injury to the body of the gallbladder with leakage of bile, general surgery should be consulted for laparoscopic cholecystectomy. Superficial cautery burns to the wall of the gallbladder can be managed conservatively with placement of a closed suction drain in the gallbladder fossa and observation.