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2013 | 85 | 3 | 141-144
Article title

Laparoscopic cholecystectomy in a patient with total situs inversus – case report

Content
Title variants
Languages of publication
EN
Abstracts
EN
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.
Publisher

Year
Volume
85
Issue
3
Pages
141-144
Physical description
Dates
published
1 - 03 - 2013
online
20 - 04 - 2013
Contributors
author
  • Department of General Surgery, Specialistic Hospital in Słupsk, Ordynator: dr n. med. Z. Stojcev
  • Department of General Surgery, Specialistic Hospital in Słupsk, Ordynator: dr n. med. Z. Stojcev
  • Department of Oncological Surgery, University Clinical Center Medical University in Gdańsk Kierownik: prof. dr hab. J. Jaśkiewicz
  • Department of General Surgery, Specialistic Hospital in Słupsk, Ordynator: dr n. med. Z. Stojcev
  • Department of Oncological Surgery, University Clinical Center Medical University in Gdańsk, Kierownik: prof. dr hab. J. Jaśkiewicz
References
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0025
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