Laparoscopic cholecystectomy in a patient with situs inversus using ultrasonically activated coagulating scissors. Report of a case and review of the literature.
Situs inversus totalis is a rare defect with a genetic predisposition, which can present difficulties in the management of abdominal pathology, especially in laparoscopic surgery, due to the mirror-image anatomy. Herein, we report on a patient with situs inversus totalis and symptomatic cholelithiasis. The patient had a successful laparoscopic cholecystectomy, using ultrasonically activated coagulating scissors. Diagnostic pitfalls and technical details of the laparoscopic cholecystectomy are discussed and a review of the relevant literature is presented.
Pitiakoudis
M
M
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
Tsaroucha
A K
AK
Katotomichelakis
M
M
Polychronidis
A
A
Simopoulos
C
C
D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation* / Q000379:methods; D002769:Cholelithiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications*; D014463:Ultrasonography