Experience of Surgery In Situs Inversus Totalis Patient - 3 Case Report

Shirin, Laila

doi:10.15406/ghoa.2016.05.00125

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2023

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“…The difficulty might be due to a) difficult adhesiolysis with the non-dominant hand, b) constant mental orientation of the anatomy, and c) cross-over of the hands while dissecting the Calot's triangle [5][6][7]. Dissection of the Calot's triangle would be easier for a left-handed surgeon than a right-handed surgeon [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Two Surgeons' Technique for Laparoscopic Cholecystectomy in Situs Inversus for a Right-Handed Surgeon: Technical and Ergonomic Considerations

M¹,

Vaddavalli²,

Abuji³

et al. 2023

Cureus

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Laparoscopic cholecystectomy can be technically challenging in patients with situs inversus totalis. A middle-aged gentleman presented with pain in the left upper abdomen. His cardiac workup showed dextrocardia, and ultrasonography showed a gall bladder on the left side. He was diagnosed with acute cholecystitis and was planned for laparoscopic cholecystectomy. We used the four-port technique, where anterior dissection was carried out by the dominant right hand of the primary surgeon, and the infundibulum was retracted by the first assistant from the mid-clavicular port. The first assistant carried out the posterior dissection through a midclavicular port, whereas the primary surgeon did a retraction. To conclude, this technique done by two surgeons decreases the ergonomic difficulty faced by right-handed surgeons while performing laparoscopic cholecystectomy.

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