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Date Published: 21/06/2022
Abstract Views: 272
Views PDF: 160
DOI: https://doi.org/10.51298/vmj.v514i2.2607
Issue
Vol. 514 No. 2 (2022)
Section
Các bài báo
How to Cite
Mạnh Hùng, T. ., & Quế Sơn, T. . (2022). LAPAROSCOPIC CHOLECYSTECTOMY IN A PATIENT WITH SITUS INVERSUS TOTALIS PRESENTING WITH ACUTE CHOLECYSTITIS: A CASE REPORT. Vietnam Medical Journal, 514(2). https://doi.org/10.51298/vmj.v514i2.2607

LAPAROSCOPIC CHOLECYSTECTOMY IN A PATIENT WITH SITUS INVERSUS TOTALIS PRESENTING WITH ACUTE CHOLECYSTITIS: A CASE REPORT

Trần Mạnh Hùng1,, Trần Quế Sơn2
1 Bach Mai Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Laparoscopic cholecystectomy is the standard treatment for cholelithiasis. Situs Inversus Totalis (SIT) is a very rare condition but not a contraindication to laparoscopic cholecystectomy. We described a successful laparoscopic cholecystectomy for acute cholecystitis in a 29-year-old male with SIT. The patient complained of abdominal discomfort just below the left costal margin. Computed tomography of the abdomen was used to diagnose cholecystitis and Situs Inversus Totalis. We used three trocars (2 trocar-10 mm and one trocar-5 mm) and dissected and clamped the cystic duct with the left hand through the 10-mm trocar port. The surgery time was 74 minutes, and there was no blood loss during the surgery. After four days of treatment, the patient was discharged from the hospital without complications. Conclusion: The surgical approach chosen depends on the surgeon's experience (either with one trocar, three trocars, or four trocars); nevertheless, the procedure tends to be highly challenging due to the transposition of abdominal organs, increasing the surgical time of the intervention.

Article Details

Keywords

cholecystectomy, cholelithiasis, laparoscope, situs inversus

References

1. Bozkurt S, Coskun H, Atak T, Kadioglu H. Single Incision Laparoscopic Cholecystectomy in situs Inversus Totalis. Journal of surgical technique and case report. 2012;4(2):129-31.
2. Demetriades H, Botsios D, Dervenis C, Evagelou J, Agelopoulos S, Dadoukis J. Laparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis. Digestive surgery. 1999;16(6):519-21.
3. Jaffray B. Minimally invasive surgery. Archives of disease in childhood. 2005;90(5):537-42.
4. Alam A, Santra A. Laparoscopic cholecystectomy in a case of situs inversus totalis: a review of technical challenges and adaptations. Annals of hepato-biliary-pancreatic surgery. 2017;21(2):84-7.
5. Du T, Hawasli A, Summe K, Meguid AA, Lai C, Sadoun M. Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis: Port Placement and Dissection Techniques. The American journal of case reports. 2020;21:e924896.
6. He T, Zou J, Song H, Yi B, Sun K, Yang J, et al. Laparoscopic Cholecystectomy in a Patient With Situs Inversus Totalis Presenting With Cholelithiasis: A Case Report. Frontiers in surgery. 2022;9:874494.
7. Jhobta RS, Gupta A, Negi B, Negi K. Single-incision laparoscopic cholecystectomy using conventional instruments in situs inversus totalis. BMJ case reports. 2018;11(1).
8. Campos L, Sipes E. Laparoscopic cholecystectomy in a 39-year-old female with situs inversus. Journal of laparoendoscopic surgery. 1991;1(2):123-5; discussion 6.
9. AlKhlaiwy O, AlMuhsin AM, Zakarneh E, Taha MY. Laparoscopic cholecystectomy in situs inversus totalis: Case report with review of techniques. International journal of surgery case reports. 2019;59:208-12.
10. Meng Y, Guo H, Peng J, Zhang X, Yang X. Modified laparoscopic cholecystectomy for cholecystolithiasis with situs inversus totalis: A case report. Asian journal of surgery. 2022;45(3):978-9.