A case report of laparoscopic cholecystectomy in situs inversus totalis: Technique and anatomical variation

Abstract

HighlightsSitus Inversus Totalis (SIT) is a rare condition.Gallbladder diseases are difficult to diagnosed in SIT patients.Laparoscopic surgery is safe in SIT patients.Technical and Anatomical difficulties should be expected.Left-handed surgeons have advantages over Right-handed ones.

Laparoscopic Cholecystectomy for Acute Cholecystitis in Situs Inversus Totalis: An Extraordinary Approach

“…However, difficulties are experienced by left-handed surgeons in normal cases are also experienced by right-handed surgeon in these cases. Due to difficulties in the use of surgical instruments, it is possible to experience some difficulties in manipulation and increasing complications (2). Hence, related different methods are defined.…”

“…Even such patient has liability to anomaly it is not like the affinity to cholecystitis (1). Some technical difficulties may arise during surgery performed on patients with both SIT and cholecystitis (2). Here we present a case wherein laparoscopic cholecystectomy was successfully performed in a 59-year-old female diagnosed with acute cholecystitis and SIT.…”

Laparoscopic biliopancreatic diversion for a morbidly obese patient with situs inversus totalis: Case report

“…Vascular anomalies of the celiac trunk and the presence of a double cystic artery may lead to unexpected hemorrhage and present additional surgical challenge. Therefore, these patients must be thoroughly investigated preoperatively to confirm the diagnosis, to exclude any other similar conditions and to detect any other associated congenital anomalies [ 6 ]. In this case, preoperative pulmonary function tests and echocardiography showed no abnormalities.…”

Laparoscopic cholecystectomy in patients with situs inversus totalis: case report and review of reported surgical techniques

“…Medline (via Pubmed) "situs inversus"[MeSH] or "situs" AND "inversus" or 131 73 "situs inversus" and "cholecystectomy"[MeSH] or "cholecystectomy" support higher rate of biliary or vascular injury or, conversion to an open surgery during laparoscopic cholecystectomy in patients with SIT but, utmost precaution should be taken in handling cases of SIT. Patle et al [9] Right Lithotomy Infraumblical 5 mm left 10 mm 5 mm left 65 mins midclavicular epigastric anterior axillary Salama et al [10] Right Supine Infraumbilical 10 mm epigastric 5 mm left 5 mm left midclavicular anterior axillary Arya et al [11] Right Reverse Infraumbilical 10 mm epigastric 5 mm left 5 mm left 95 mins trendelenburg left to midline midclavicular anterior axillary Ali et al [12] Right -Infraumbilical 10 mm left 5 mm right 5 mm left 70 mins midclavicular midclavicular anterior axillary RaghuveeR et al [13] Right Lloyd-Davies Infraumbilical 10 mm epigastric 5 mm right 5 mm left 135 mins midclavicular anterior axillary Ahmed et al [14] Right -Supraumbilical 5 mm left 10 mm left 5 mm left 48 mins midclavicular paramedian anterior axillary 5 cm caudally from xiphoid Fanshawe et al [15] Right Lloyd-Davies 10 mm left 5 mm left 5 mm supra-5mm subxiphoid 60 mins midclavicular subcostal umbilical Alam et al [16] Right Reverse Infraumbilical 10 mm 5 mm left 5 mm left 70 mins trendelenburg subxiphoid midclavicular anterior axillary Alsabek et al [17] Left -Infraumbilical 10 mm 5 mm left 5 mm left 60 mins subxiphoid midclavicular anterior axillary…”