Laparoscopic Cholecystectomy in Situs Inversus Totalis:a Case Report

作     者：Sheng-ning Zhang Li Li Jiang-hua Ran Jing Liu Yu Liang Yang Gao Min-jie Yang 

作者机构：First Department of Hepatobiliary Pancreatic SurgeryAffiliated Ganmei Hospital of Kunming Medical University First People’s Hospital of Kunming CityLiver Transplantation Center of Organ Transplantation Institute of Yunnan Province 

出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)

年 卷 期：2013年第28卷第4期

页      面：245-247页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：laparoscopic cholecystectomy sims inversus totalis 

摘      要：SITUSinversus totalis is uncommon anatomic anomaly, with gallbladder on the left side} Since the first known laparoscopic cholecystectomy in a patient with situs inversus has been reported by Camposand Sipes in 1991,2 there have been only approximately 40 cases of laparoscopic cholecystectomy performed in patients with situs inversus reported in the published literatures.3＇ 4 These cases may cause difficulties in the diagnostic and therapeutic management due to the mirror-image anatomy during operation, which requires more technically procedures and needs reorientation of visuomotor skills to the left upper quadrant. We herein discuss technical and diagnostic difficulties and review the literatures.