Laparoscopic gastric banding for morbid obesity in a patient with situs inversus totalis.
We discuss the operative challenges posed by the advanced laparoscopic approach for a patient with situs inversus totalis. The patient was a morbidly obese woman with multiple co-morbidities related to her weight. The modifications in the surgical technique include the insertion of trocars according to the mirror image anatomy of the intra-abdominal organs under laparoscopic visualization. We suggest preoperative abdominal ultrasound in order to diagnose both gallbladder stones and also the reverse location of intra-abdominal organs that is rarely seen. A laparoscopic gastric banding, not a contradiction for situs inversus totalis, was performed successfully.
Ersoy
Emin
E
Department of General Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey. eminersoy@yahoo.com
Koksal
Hande
H
Ege
Bahadir
B
D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011859:Radiography; D012857:Situs Inversus / Q000150:complications* / Q000000981:diagnostic imaging