Laparoscopic cholecystectomy in situs inversus totalis.
Michael Keys, Rachel Colbran, Peter Hodgkinson
✦ AI-curated · Sources linked
Case in brief
A woman in her 40s with situs inversus totalis presented with symptomatic cholelithiasis. She underwent an elective laparoscopic cholecystectomy, where the surgeon operated from the left side of the patient, utilizing a subcostal port configuration. This approach allowed for dominant-hand dissection and effective infundibular retraction, leading to a successful procedure and uneventful recovery.
Diagnostic / clinical pearl
In cases of situs inversus totalis, adapting the surgical approach to allow for dominant-hand dissection can enhance the safety and efficiency of laparoscopic cholecystectomy.