2023
DOI: 10.12998/wjcc.v11.i9.1939
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Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Abstract: Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Since the 1990s, more than one hundred SI patients have been reported to have successfully undergone laparoscopic cholecystectomy. In these cases, the major problem is to overcome is the left-right condition for right-handed surgeons. Laparoscopic common bile duct exploration (LCBDE), an alternative to treat patients with bile duct stones, has shown equivalent efficacy and is less like… Show more

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Cited by 3 publications
(5 citation statements)
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“…6 Although LC + LCBDE may be preferred for SI patients based on this evidence, conducting LCBDE in these cases is more challenging, even for skilled laparoscopic surgeons. 7 To our knowledge, this is the first report of bile duct stone removal using the transcystic technique with needle forceps in the French mirror technique.…”
Section: Discussionmentioning
confidence: 87%
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“…6 Although LC + LCBDE may be preferred for SI patients based on this evidence, conducting LCBDE in these cases is more challenging, even for skilled laparoscopic surgeons. 7 To our knowledge, this is the first report of bile duct stone removal using the transcystic technique with needle forceps in the French mirror technique.…”
Section: Discussionmentioning
confidence: 87%
“…While most case reports have utilized the "American mirror technique," the requirement for right-handed surgeons to cross their hands for dissection has been challenging. 2,7 This problem was overcome by adopting the "French mirror technique," which allows the surgeon to perform the surgery with both hands, similar to conventional LC, without the need to cross forceps.…”
Section: Discussionmentioning
confidence: 99%
“…En el presente caso, el tiempo operatorio fue de 210 minutos, con estancia hospitalaria de 6 días y sin complicaciones. Algo similar a lo reportado por Chiu BY et al (9) quien en su estudio de 9 casos de exploración de vía biliar en SI tuvo un tiempo operatorio entre 129-240 minutos, la estancia hospitalaria entre 3-7 días, y no se evidenció conversión, ni complicaciones, ni mortalidad.…”
Section: Discussionunclassified
“…Con respecto a la CPRE como tratamiento de la coledocolitiasis en pacientes con SI, no hay consenso sobre una técnica estándar. Morales-Polanco et al (6) indica que el endoscopista debe colocarse al lado derecho de la mesa, y dada la anatomía invertida, Chiu BY et al (9) menciona que a menudo se requiere una rotación de 180 grados del endoscopio en el sentido de las agujas del reloj en el duodeno, donde la canulación al conducto biliar es difícil debido a la falta de visualización y la ubicación ectópica de la ampolla de Vater. Por lo cual, así como en la cirugía, en la CPRE se requiere del conocimiento previo de la anatomía biliar, mediante la CRM (6) .…”
Section: Discussionunclassified
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