TITLE:
Alternate Technique for Doing Laparoscopic Cholecystectomy in Situs Inversus
AUTHORS:
Vikrant Singh, Zahur Hussain, Shadilal Kachroo, Vanita Gupta, Harbinder Singh, Mukesh Kumar, Barinder Kumar
KEYWORDS:
Situs Inversus Totalis; Laparoscopic Cholecystectomy; Anomalies
JOURNAL NAME:
Surgical Science,
Vol.4 No.10,
October
22,
2013
ABSTRACT: A 45-year-old female with known
situs inversus totalis presented with left-sided abdominal discomfort. Chest X-ray,
abdominal ultrasonography and CT scan confirmed the diagnosis of a gallstone,
as well as, situs inversus; Laparoscopic cholecystectomy was safely performed
with mirror image of standard 4 ports. Callots triangle dissection was done
with epigastric working port by surgeon, but gallbladder fossa dissection was
done by surgical assistant from midclavicular port as main working port.
Laparoscopic surgeon should be careful for view of reversed relationships and
also for existence of other anomalies.