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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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  • 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
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  • 10. Duszewski M, Szewczyk T, Mandryka Y et al.: Rare haemorrhagic complications of laparoscopic cholecystectomy. Videosurgery and other miniinvasivetechniques 2009; 4: 131-34.
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  • 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.
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  • 20. Yaghan RJ, Gharaibeh KI , Hammori S: Feasibility of laparoscopic cholecystectomy in situs inversus. J Laparoendosc Adv Surg Tech A 2001; 11: 233-37.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0025
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