Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2006 Dec 16

PMID 17171807

Citations 15

Authors

Unal Aydin

Omer Unalp

Pinar Yazici

Baris Gurcu

Murat Sozbilen

Ahmet Coker

Affiliations

Soon will be listed here.

Abstract

Currently, laparoscopic cholecystectomy is an undoubtfully optimal treatment of cholelithiasis. What about performing this procedure on a patient with situs inversus totalis and what are the difficulties of this operation for a right-handed surgeon? We presented a 35-year-old man with unknown situs inversus totalis who was admitted with epigastric pain and digestive problems. Ultrasonography and computed tomography of the abdomen confirmed the diagnosis of a gallstone. Besides, the liver and gallbladder were on the left side and the spleen was on the right. All systems were left-right reversal as mirror image in all diagnostic studies. Laparoscopic cholecystectomy was safely performed, despite of difficulties of situs inversus. The patient was discharged on postoperative day 1. It should be considered that existence of other anomalies may easily cause uninvited injuries. In the patients with situs inversus, laparoscopic cholecystectomy can be safely managed by an experienced surgeon through laparoscopy, and also hepatobiliary surgery.

Citing Articles

Look beyond the Mirror: Laparoscopic Cholecystectomy in Situs Inversus Totalis-A Systematic Review and Meta-Analysis (and Report of New Technique).

Enciu O, Toma E, Tulin A, Georgescu D, Miron A Diagnostics (Basel). 2022; 12(5).

PMID: 35626419 PMC: 9140146. DOI: 10.3390/diagnostics12051265.

Laparoscopic cholecystectomy with choledochoduodenostomy in a patient with situs inversus totalis.

Takalkar Y, Koranne M, Vashist K, Khedekar P, Garale M, Rege S J Minim Access Surg. 2018; 14(3):241-243.

PMID: 29882522 PMC: 6001295. DOI: 10.4103/jmas.JMAS_122_17.

Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review.

Rungsakulkij N, Tangtawee P BMC Surg. 2017; 17(1):43.

PMID: 28427402 PMC: 5397776. DOI: 10.1186/s12893-017-0242-x.

Modified laparoscopic cholecystectomy technique for treatment of situs inversus totalis: A case report.

Ren J, Li S, Geng Y, Xiao R J Int Med Res. 2017; 45(3):1261-1267.

PMID: 28417652 PMC: 5536415. DOI: 10.1177/0300060517703258.

Cholecystitis in Situs Inversus Totalis.

Rosen H, Petrosyan M, Mason R Radiol Case Rep. 2016; 3(4):226.

PMID: 27303558 PMC: 4897086. DOI: 10.2484/rcr.v3i4.226.

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