Alternate Technique for Doing Laparoscopic Cholecystectomy in Situs Inversus
Alternate Technique for Doing Laparoscopic Cholecystectomy in Situs Inversus作者机构:Acharya Shree Chander College of Medical Sciences Jammu India Government Medical College Jammu India
出 版 物:《Surgical Science》 (外科学(英文))
年 卷 期:2013年第4卷第10期
页 面:448-452页
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Situs Inversus Totalis Laparoscopic Cholecystectomy Anomalies
摘 要:A 45-year-old female with known situs inversus totalis presented with left-sided abdominal discomfort. Chest X-ray, abdominal ultrasonography and CT scan confirmed the diagnosis of a gallstone, as well as, situs inversus;Laparoscopic cholecystectomy was safely performed with mirror image of standard 4 ports. Callots triangle dissection was done with epigastric working port by surgeon, but gallbladder fossa dissection was done by surgical assistant from midclavicular port as main working port. Laparoscopic surgeon should be careful for view of reversed relationships and also for existence of other anomalies.