ArticleThe American journal of case reports2020
Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis: Port Placement and Dissection Techniques.
Article in The American journal of case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 14 citations in OpenAlex.
- Ergonomic modified port placement for laparoscopic cholecystectomy in situs inversus totalis: a case report and analysis of reported approaches.International journal of surgery case reports · 2026Article
- Laparoscopic cholecystectomy in situs inversus totalis.BMJ case reports · 2026Article
- Open Cholecystectomy in a Patient With Situs Inversus Totalis and Symptomatic Cholelithiasis: A Case Report.Clinical case reports · 2026Article
- Urgent laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review.International journal of surgery case reports · 2026Article
- Incidental left-sided gallbladder without situs inversus discovered during laparoscopic cholecystectomy: a rare case report.International journal of surgery case reports · 2026Article
- Article
- Laparoscopic Common Bile Duct Exploration for Choledocholithiasis in a Patient with Situs Inversus Totalis and Prior Total Gastrectomy with Roux-en-Y Reconstruction: A Case Report.Surgical case reports · 2025Article
- BILE DUCT INJURY REPAIR IN A PATIENT WITH SITUS INVERSUS TOTALIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum.Clinical endoscopy · 2023Article
- Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis.Cureus · 2023Article
- Article
- Laparoscopic Cholecystectomy in a Morbidly Obese Patient With Situs Inversus Totalis: A Case Report.Cureus · 2022Article
- Laparoscopic Colectomy for a Patient with Situs Inversus Totalis: The Usefulness of Preoperative Assessment.The American journal of case reports · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Situs inversus is a rare congenital condition. Since 1991, more than 60 cases of laparoscopic cholecystectomy have been reported in patients with situs inversus. There are many different port placement techniques depending on the surgeon's preference. The fact that some of the critical dissection is easier performed by the left hand poses technical difficulty for right-handed surgeons. CASE REPORT A 56-year-old woman with known situs inversus totalis and extensive past surgical history presented with acute cholecystitis. A Veress needle was used to enter the abdomen at Palmer's point. Visiport was used to place the first 5-mm port at the left mid-clavicular line. The dissection was performed in a mirror image to the usual dissection through the epigastric port. CONCLUSIONS There have been several techniques described in the literature to facilitate the dissection in laparoscopic cholecystectomy in patients with situs inversus totalis. We argue that the first port should be placed at the mid-clavicular line with Visiport. The other ports should be placed in mirror image of the normally placed ports, including a 12-mm epigastric port, 5-mm or 11-mm paraumbilical port, and 5-mm port at the left anterior axillary line. For dissection, we argue that it is preferable to have 2 assistants with 1 retracting the gallbladder and the other holding the camera. This allows the primary surgeon to use the dominant hand during critical dissection in this unfamiliar anatomy.
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