Laparoscopic Cholecystectomy in a Patient with Situs Inversus Using Ultrasonically Activated Coagulating Scissors. Report of a Case and Review of the Literature

Abstract

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.

Key Words:

• Situs inversus
• laparoscopic cholecystectomy
• ultrasonically activated coagulating scissors

Additional information

Notes on contributors

A. K. Tsaroucha

Alexandra Tsaroucha 11 Kapnergaton Street 67100 Xanthi, Greece Tel./Fax: [phone] E-mail: [email protected]