Publication: Laparoscopic Cholecystectomy and Common Bile Duct Exploration in Situs Inversus Patients
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Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Situs inversus is a congenital condition in which the major visceral organs are
reversed from their normal positions, estimated to occur in 1 in 5000–20,000 births.
Incidence of gallbladder stone disease is same in these patients and normal patients.
Laparoscopic cholecystectomy remains the treatment modality, and performing it
successfully in these patients even rarer. We report a 54 years gentleman with gall
stone, and 63 years lady who had both gall stone and common bile duct stone
along with situs inversus. The mirror image reversibility of the abdominal viscera
was seen in both cases. Ports were placed on the opposite side as the liver and the
gallbladder were on the left side. Dissection was difficult because being a right-
handed surgeon, the non-dominant hand would be the working hand. However, no
perioperative complications occurred. It is technically challenging and requires a
proper orientation of the left upperquadrant of abdomen.
KEY WORDS
Common bile duct exploration, Laparoscopic cholecystectomy, Situs inversus
Description
Simkhada S, Malla B, Shrestha R
Department of Surgery
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal
Keywords
Common bile duct exploration, Laparoscopic cholecystectomy, Situs inversus