ReviewDiagnostics (Basel, Switzerland)2022
Look beyond the Mirror: Laparoscopic Cholecystectomy in Situs Inversus Totalis-A Systematic Review and Meta-Analysis (and Report of New Technique).
Review in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 32 citations in OpenAlex.
- A case report of Mirizzi syndrome type II in a patient with situs inversus totalis treated with laparoscopic cholecystectomy.International journal of surgery case reports · 2026Article
- Laparoscopic cholecystectomy in situs inversus totalis.BMJ case reports · 2026Article
- Optimizing ergonomics during laparoscopic cholecystectomy in situs inversus abdominis with levocardia: a technical note.Journal of minimally invasive surgery · 2026Article
- Open Cholecystectomy in a Patient With Situs Inversus Totalis and Symptomatic Cholelithiasis: A Case Report.Clinical case reports · 2026Article
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- A Case Report of Laparoscopic Cholecystectomy in an Obese Patient With Situs Inversus Totalis.Cureus · 2026Article
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- Overcoming mirror anatomy: surgical strategies for laparoscopic cholecystectomy in situs inversus totalis: a case report.Journal of medical case reports · 2025Article
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- Single-Incision Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report.The American journal of case reports · 2025Article
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- 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
- The Effect of Increased Intra-Abdominal Pressure on Hemodynamics in Laparoscopic Cholecystectomy-The Experience of a Single Centre.Journal of personalized medicine · 2024Article
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- Adaptability in the Midst of Anatomical Challenges: A Case of Situs Inversus Totalis in Laparoscopic Cholecystectomy.Cureus · 2024Article
- Situs inversus totalis in an asymptomatic adolescent - importance of patient education: A case report.World journal of clinical pediatrics · 2023Article
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Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy in situs inversus totalis (SIT) is a technically and physically demanding procedure for surgeons and there is still a lack of consensus regarding the best technical approach in such cases. We conducted a systematic review and meta-analysis to evaluate port placement, the dominant hand of the surgeon, preoperative imaging, morbidity, and mortality.
methodsWe searched MEDLINE, SCOPUS, Web of Science, and the Cochrane Library for studies of patients with SIT that underwent laparoscopic cholecystectomy. Of 387 identified records, 101 met our inclusion criteria, all of them case reports or case series of maximum of 6 patients.
resultsOut of the 121 patients included in the analysis, 94 were operated on using a "mirrored American" technique, 12 using the "Mirrored French", 9 employed single-port techniques, and 6 described novel port placements. Even though most surgeries were conducted by a right-handed surgeon (93 cases), surgeries performed by the seven left-handed surgeons yielded shorter intervention times (
conclusionsCholecystectomy in SIT is a safe but challenging procedure and surgeons should prepare in advance for the unfamiliar aspects of completing such a task. While preoperative imaging and a left-handed surgeon are beneficial in terms of surgery length, when these are not available surgeons should focus on achieving the most comfortable setting based on their experience and tailor their approach to the patient at hand. Further studies are needed in order to properly describe and evaluate intraoperative findings as well as surgeon-dependent factors that could improve future recommendations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.