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2013 | 85 | 3 | 141-144
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Laparoscopic cholecystectomy in a patient with total situs inversus – case report

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For many years, laparoscopic cholecystectomy remains the method of choice for both the treatment of symptomatic cholelithiasis, and chronic and acute cholecystitis (1). The experience of the surgeon grows with each laparoscopic procedure, which enables to operate in case of difficult anatomical conditions and associated anatomical variants. The aim of the study was to present a case of a 47-year old male patient with total situs inversus and several months history of recurrent left epigastric pain, radiating to the left scapula, being accompanied by nausea and vomiting. The study presented the operative technique of laparoscopic cholecystectomy and postoperative period data. In conclusion, laparoscopic cholecystectomy in a patient with total situs inversus is possible and safe, providing relevant precautions. The main issues certainly include a good and feasible plan of the operation, discussion concerning the possible intraoperative and postoperative complications, a good plan considering the localization of the trocars, as well as an experienced surgical team. One should also not forget that early conversion to classical cholecystectomy is not considered as failure, but might prevent accidental damage of the biliary ducts and long-term complications.
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1 - 03 - 2013
20 - 04 - 2013
  • 1. Głuszek S, Bonek Z: State of gallstone videosurgery in Świętokrzyskie Voivodeship. Wideochirurgiai inne techniki małoinwazyjne 2008; 3(3): 111-18.
  • 2. Kozicki I, Durowicz S, Tarnowski W: Bile duct injury complicating laparoscopic cholecystectomy: risk factors and prevention. In Postępy Nauk Medycznych, Borgis, Warsaw, Poland, 2011; 1: 42-48.
  • 3. Mayo LN , Rice RG: Situs inversus totalis. ArchSurg 1949; 58: 724-730
  • 4. Yokoyama T, Copeland NG, Jenkins NA et al.: Reversal of left-right asymmetry: a situs inversus mutation. Science 1993; 260: 679-82.
  • 5. Marcelletti C, Maloney JD, Ritter DG et al.: Corrected transposition and ventricular septal defect: surgical experience. Ann Surg 1980; 191(6): 751-59.
  • 6. Blegen HM : Surgery in situs inversus. Ann Surg 1949; 129: 244-59.
  • 7. Callery MP: Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations. Surg Endosc 2006; 20(11): 1654-58.[PubMed][Crossref]
  • 8. Wirkowski A, Pesta W: Traps of laparoscopic cholecystectomy - our experience. Wideochirurgiai inne techniki małoinwazyjne 2008; 3(4): 179-85.
  • 9. Markert R, Klimczak J, Duszewski M, ModzelewskiB: Techniki endoskopowe w jatrogennych uszkodzeniach dróg żółciowych i trzustki. Pol PrzeglChir 2005; 77(4): 365-72.
  • 10. Duszewski M, Szewczyk T, Mandryka Y et al.: Rare haemorrhagic complications of laparoscopic cholecystectomy. Videosurgery and other miniinvasivetechniques 2009; 4: 131-34.
  • 11. Rembiasz K, Bobrzyński A, Budzyński A et al.: Analysis of complications of laparoscopic management of abdominal diseases related to extended indications. Videosurgery and other miniinvasivetechniques 2010; 5(2): 53-59.
  • 12. Wood GO, Blalock A: Situs inversus totalis and disease of the biliary tract. Arch Surg 1940; 40: 885-96.[Crossref]
  • 13. Nursal TZ , Baykal A, Iret D, Aran O: Laparoscopic cholecystectomy in a patient with situs inversus totalis. J Laparoendosc Adv Surg Tech A. 2001; 11: 239-41.
  • 14. Demetriades H, Botsios D, Dervenis C et al.: Laparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis. Dig Surg 1999; 16: 519-21.[PubMed]
  • 15. Mitura K, Romańczuk M, Blicharz P, BorucińskiM: Laparoscopic cholecystectomy in patient with situs viscerum inversus. A case report. Wideochirurgiai inne techniki małoinwazyjne 2006; 1: 40-42.
  • 16. Aydin U, Unalp O, Yazici P et al.: Laparoscopic cholecystectomy in a patient with situs inversus totalis. World J Gastroenterol 2006; 12(47): 7717-19.
  • 17. Oms LM , Badia JM: Laparoscopic cholecystectomy in situs inversus totalis: The importance of being left-handed. Surg Endosc 2003; 17: 1859-61.[PubMed][Crossref]
  • 18. Heimann T, Sicular A: Acute cholecystitis with situs inversus. NY State J Med 1979; 79: 253-54.
  • 19. Jesudason SR , Vyas FL , Jesudason MR et al.: Laparoscopic cholecystectomy in a patient with situs inversus. Indian J Gastroenterol 2004; 23: 79-80.
  • 20. Yaghan RJ, Gharaibeh KI , Hammori S: Feasibility of laparoscopic cholecystectomy in situs inversus. J Laparoendosc Adv Surg Tech A 2001; 11: 233-37.
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