Ann Hepatobiliary Pancreat Surg.  2017 May;21(2):84-87. 10.14701/ahbps.2017.21.2.84.

Laparoscopic cholecystectomy in a case of situs inversus totalis: a review of technical challenges and adaptations

Affiliations
  • 1Department of Surgery, B.R. Singh Hospital and Centre for Medical Education and Research, Eastern Railways, Kolkata, West Bengal, India. azharalam01@gmail.com

Abstract

Situs inversus totalis is a rare congenital condition, characterized by the transposition of the thoracic and abdominal viscera, resulting in a mirror image of normal anatomy. Even though situs inversus does not predispose to gall stones, a laparoscopic cholecystectomy, in a case of situs inversus, can prove to be a technically challenging procedure, especially for the right-handed surgeon. In this case report, we present an unusual case of cholelithiasis in a patient with situs inversus totalis. A laparoscopic cholecystectomy, which is considered the gold standard procedure for symptomatic gallstones, was performed. The technical challenges that were anticipated due to anatomical anomalies were managed by various preoperative and intraoperative modifications. Through this present case report, we concluded that a laparoscopic cholecystectomy is a feasible and safe procedure in patients with situs inversus totalis and can be precisely performed by a right-handed surgeon, with necessary adaptations.

Keyword

Laparoscopic cholecystectomy; Situs inversus totalis; Adaptations

MeSH Terms

Cholecystectomy, Laparoscopic*
Cholelithiasis
Gallstones
Humans
Situs Inversus*
Viscera
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