J Minim Invasive Surg.  2018 Jun;21(2):82-85. 10.7602/jmis.2018.21.2.82.

Laparoscopic Cholecystectomy in Two Patients with Situs Inversus Totalis: A Case Report

• Jang JY
• Lee W
• Cho J
• Jeong CY
• Hong SC

• KMID: 2436229
• DOI: http://doi.org/10.7602/jmis.2018.21.2.82

Abstract

Situs inversus totalis (SIT) is a rare condition in which the viscera are transposed in a mirror image reversal. We report two cases of laparoscopic cholecystectomy (LC) performed for SIT patients. A 63-year old male patient with SIT was diagnosed with symptomatic gallstones. We performed LC by 3-port method. The patient was discharged uneventfully on postoperative day 2. A 57-year old female patient with SIT underwent LC for acute cholecystitis. Due to severe inflammation an assistant was needed. The patient was discharged uneventfully on postoperative day 3. Over 80 cases of LCs in SIT patients have been reported so far and LC has become the standard treatment. The current report confirms the safety of laparoscopy in such cases. Laparoscopic cholecystectomy can be performed safely in SIT patients if care is taken. Surgeons need to be careful of reversed anatomy and unaccustomed working hand.

Keyword

Laparoscopic cholecystectomy; Situs inversus totalis; Acute cholecystitis

MeSH Terms

Cholecystectomy, Laparoscopic*
Cholecystitis, Acute
Female
Gallstones
Hand
Humans
Inflammation
Laparoscopy
Male
Methods
Situs Inversus*
Surgeons
Viscera