Laparoscopic cholecystectomy in situs inversus totalis: A review article

Goyal, Sunder; Goyal, Snigdha; Garg, Aditya; Singla, Vikas; Garg, Gulshan; Saini, Isha

doi:10.5455/aces.20150610060815

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,6 Since then, a total of 79 LCs have been reported. 13 This report is the 80th. No conversion to open surgery has been reported, 1 nor has evidence of bile duct injuries been reported.…”

Section: Discussionmentioning

confidence: 92%

“…There has been a description of a 3-port LC 1,2 and a single incision laparoscopic surgery in patients with SIT. 13 Our procedure was performed with a combination of LH and RH dissection of the TOC/CVS, due to moderate ambidexterity of the surgeon. Ergonomic challenges have been described in the literature when RH surgeons perform the procedure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Case Report of Situs Inversus Totalis and Laparoscopic Cholecystectomy

Duncan

Waxman

2016

International Surgery

View full text Add to dashboard Cite

Laparoscopic cholecystectomy (LC) in patients with situs inversus totalis (SIT) characterized by transposition of organs to the opposite side of the body can be technically challenging. A 43-year-old Hispanic woman presented with epigastric pain radiating to the chest and back, intermittently over 3 months, but worse on day of admission. During the cardiac workup, she was noted to have dextrocardia. The patient had a left-sided Murphy's sign, propagating a workup that confirmed SIT, including an ultrasound showing cholelithiasis and normal ducts. The patient underwent an LC and was found to have choledocholithiasis. An endoscopic retrograde cholangiopancreatography cleared the common bile duct of a choledocholith. LC is the gold standard for cholecystitis. It is the second most common laparoscopic procedure conducted worldwide. When SIT is encountered, feasibility and technical difficulty in diagnosis and treatment of such cases pose challenges due to contralateral transposition of the visceral organs. Difficulty is encountered when exposing the triangle of Calot/critical view of safety and especially when conducting a cholangiogram. As such, added time is usually required to conduct the procedure. Conducting an LC in a patient with SIT is feasible when performed by an experienced laparoscopic surgeon. The diagnosis and initial presenting signs and symptoms are different from the patient with a normal anatomy. The surgical skills of the surgeon are challenged, especially in the right handdominant individual. The mindset of the surgeon requires changing the critical thinking when conducting a mirror image dissection.

show abstract

“…1,6 Since then, a total of 79 LCs have been reported. 13 This report is the 80th. No conversion to open surgery has been reported, 1 nor has evidence of bile duct injuries been reported.…”

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Case Report of Situs Inversus Totalis and Laparoscopic Cholecystectomy

Duncan

Waxman

2016

International Surgery

View full text Add to dashboard Cite

show abstract

“…9 In literature, 40 patients of open cholecystectomy in the pre-laparoscopy times and 79 patients of laparoscopic cholecystectomy in situs inversus totalis have been recorded. 10 Any respiratory or cardiac abnormality must be properly evaluated and addressed prior to laparoscopic cholecystectomy.…”

mentioning

confidence: 99%

Inverting the laparoscopic cholecystectomy: a case of acute biliary pancreatitis in situs inversus

et al. 2017

View full text Add to dashboard Cite

A 57-year-old female presented in Outpatient Department with complaints of left upper abdominal pain for last 5 days. She had left hypochondrial and epigastric tenderness with apex beat palpable in right 5th intercostal space. Diagnostic work-up revealed acute biliary pancreatitis with situs inversus totalis. Abdominal sonogram showed left sided distended gallbladder with multiple stones. Laparoscopic cholecystectomy was done after initial stabilization of the patient. Patient’s recovery was uneventful in the postoperative period.

show abstract