Publication: Simplified technique of laparoscopic cholecystectomy in a patient with situs inversus: a case report and review of techniques
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Issued Date
2015
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eng
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Mahidol University
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BioMed Central
Bibliographic Citation
BMC Surgery. Vol. 15, (2015), 23
Suggested Citation
Natthawut Phothong, Thawatchai Akaraviputh, Vitoon Chinswangwatanakul, Atthaphorn Trakarnsanga Simplified technique of laparoscopic cholecystectomy in a patient with situs inversus: a case report and review of techniques. BMC Surgery. Vol. 15, (2015), 23. doi:10.1186/s12893-015-0012-6 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/2664
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Title
Simplified technique of laparoscopic cholecystectomy in a patient with situs inversus: a case report and review of techniques
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Abstract
Background: 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.
Case presentation: 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.
Conclusion: 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.