In:
Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 61, No. 267 ( 2023-11-01), p. 893-896
Abstract:
Situs inversus totalis is a rare congenital anomaly in which the abdominal and thoracic organs aretransposed in a mirror image. Diagnosis and management of cholelithiasis in patients with situsinversus totalis pose a challenge due to the anatomical variation. A laparoscopic cholecystectomy in such a case can be technically challenging, especially for a right-handed surgeon. In this case report, we present a case of a 38-year-old male with symptomatic cholelithiasis in a chronic kidney disease stage five patient under maintenance hemodialysis planned for recipient renal transplant. A laparoscopic cholecystectomy considered the gold standard for symptomatic cholelithiasis was performed with a three-port technique. The technical challenges anticipated due to anatomical variation were managed by intraoperative modifications. In conclusion, laparoscopic cholecystectomy in patients with situs inversus totalis can be done with technical modifications and re-orientation of visual motor skills.
Type of Medium:
Online Resource
ISSN:
1815-672X
,
0028-2715
Language:
Unknown
Publisher:
Journal of Nepal Medical Association (JNMA)
Publication Date:
2023
detail.hit.zdb_id:
2209910-4
detail.hit.zdb_id:
138059-X
