ArticleInternational journal of surgery case reports2026
Ergonomic modified port placement for laparoscopic cholecystectomy in situs inversus totalis: a case report and analysis of reported approaches.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Situs inversus is a rare congenital condition characterized by the mirror-image reversal of organ placement. Performing laparoscopic cholecystectomy in patients with situs inversus poses unique ergonomic challenges due to altered anatomical orientation. This case report presents a successful laparoscopic cholecystectomy in a patient with situs inversus, highlighting technical considerations and ergonomic modified port placement. Case presentation: A 57-year-old male was a known case of situs inversus totalis (STT) for 15 years. Preoperative evaluation confirmed cholelithiasis, necessitating surgical intervention. Laparoscopic cholecystectomy was performed using a modified technique to accommodate the reversed anatomy and improve ergonomics for right-handed surgeons. The procedure was completed successfully without conversion. Intraoperatively, the gallbladder and biliary anatomy were mirror-imaged, and the gallbladder was hidden beneath a dense omental wrap due to inflammatory adhesions. Postoperative recovery was uneventful, and the patient was discharged on postoperative day 2 after drain removal. Discussion: Laparoscopic cholecystectomy in situs inversus requires understanding of reversed anatomy and adaptation of trocar placement and instrument handling. In this case, surgery was completed without complications, demonstrating the feasibility and safety of laparoscopic cholecystectomy using modified port placement. However, individual patient factors and surgeon expertise should be considered when selecting the optimal approach. Conclusion: Laparoscopic cholecystectomy can be safely performed in situs inversus with careful planning and modified technique. Although rare, situs inversus should be considered in patients with gallstone disease. This case highlights the need for individualized management, and further accumulation of experience may help refine ergonomic port strategies in SIT.
Indexed as
Identifiers
What OpenQuestion holds
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.