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  • Title: Modified laparoscopic cholecystectomy technique for treatment of situs inversus totalis: A case report.
    Author: Ren JJ, Li SD, Geng YJ, Xiao R.
    Journal: J Int Med Res; 2017 Jun; 45(3):1261-1267. PubMed ID: 28417652.
    Abstract:
    Laparoscopic cholecystectomy is a broadly used technique for gallbladder treatment. However, situs inversus, a rare anomaly, is reportedly difficult to treat by conventional laparoscopic cholecystectomy. A 36-year-old woman with chronic cholecystitis and multiple gallstones was found to have dextrocardia on a chest X-ray. Magnetic resonance imaging demonstrated situs inversus, cholecystitis, and cholelithiasis. We successfully performed laparoscopic cholecystectomy using our modified technique, which mainly involved a left-handed operation and adjustment of the port positions. This case will be very instructive for right-handed surgeons in the management of cholelithiasis by laparoscopic cholecystectomy in patients with situs inversus.
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