The authors declare that they have no competing interests.
AT conceived of the study and participated in its coordination. TA, VC, and AT supervised the treatment of the patient. NP participated in the database collection and drafted the manuscript. All authors read and approved the final manuscript.
Situs inversus is a rare and silent autosomal recessive disorder occurring in 1:5,000 to 1:20,000 individuals. Laparoscopic cholecystectomy, a standard treatment for gallbladder disease in the general population, is very challenging in patients with situs inversus, especially for right-handed surgeons. We herein report a case involving our modified laparoscopic cholecystectomy technique for right-handed surgeons in a Thai patient with situs inversus who developed a symptomatic gallstone. We also include a short review of the literature.
A 39-year-old female patient with dextrocardia presented with a 5-month history of episodic biliary colic. Abdominal ultrasonography revealed a left-sided gallbladder with gallstones. We performed laparoscopic cholecystectomy with our modified technique including port relocation. The operation went well, and our patient recovered satisfactorily.
Laparoscopic cholecystectomy in patients with a left-sided gallbladder is not often confidently performed by right-handed surgeons. However, some modifications of “mirror image” ports focused on the more ergonomic port position are the keys to successful completion of this operation. The patient will thus still obtain benefits from this standard minimally invasive technique.
Lochman P, Hoffmann P, Koci J. Elective laparoscopic cholecystectomy in a 75-year-old woman with situs viscerum inversus totalis. Videosurgery Miniinv. 2012;7:216–9. CrossRef
Ali MS, Attash SM: Laparoscopic cholecystectomy in a patient with situs inversus totalis: case report with review of literature. BMJ Case Rep 2013, 2013.
- Simplified technique of laparoscopic cholecystectomy in a patient with situs inversus: a case report and review of techniques
- BioMed Central
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