Laparoscopic Cholecystectomy in Situs Inversus Totalis: Feasibility and Review of Literature

Ibrahim A Sslama, MD, Mohammed H Abdullah, MD, Mohammed a Houseni, MD. Department of Hepatobilary Surgery (1), Department of Anesthesia (2), Department of Radiology (3) National Liver Institute, Menophyia University.Shiben Elkom , Egypt


Situs inversus is a rare anomaly characterized by transposition of organs to the opposite site of the body. Laparoscopic cholecystectomy in these patients is technically more demanding and needs reorientation of visumotor skills to left upper quadrant.
Herein, we report on a patient with situs inversus totalis underwent laparoscopic cholecystectomy for cholelithiasis. Feasibility and technical difficulty in diagnosis and operation are discussed in the context of the available literature. Difficulty is encountered in skelatonizing the structures in Cabot’s triangle, which consume extra time than normally located gall bladder. A summary of additional 50 similar cases reported up to date in the medical literature is also presented.
Key Words: Situs inversus totalis-cholelithiasis- laparoscopic cholecystectomy.

Session Number: Poster – Poster Presentations
Program Number: P336
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