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>Journals >Cirugía y Cirujanos >Year 2009, Issue 2


Pereira-Graterol F, Siso-Calderón L
Technical considerations during laparoscopic cholecystectomy in a patient with situs inversus totalis
Cir Cir 2009; 77 (2)

Language: Español
References: 20
Page: 145-148
PDF: 195.81 Kb.

[Full text - PDF]

ABSTRACT

Background: Laparoscopic cholecystectomy is one of the most frequently performed surgical procedures by the general surgeon. This situation allows determining a defined surgical strategy in most patients. However, some factors may induce the surgical team to modify it. Our objectives were to describe and analyze the variation of the surgical technique used during laparoscopic cholecystectomy in a female patient with situs inversus totalis.
Clinical case: We report the case of a 70-year-old female with diagnosis of chronic gallstone cholecystitis and situs inversus totalis. Modifications in the surgical technique are detailed, and the anatomic variations of the intraabdominal organs are described. Postoperative evolution was satisfactory and the patient was highly satisfied with the surgical outcome. There was no associated morbidity.
Conclusions: Intraabdominal anatomic variations, alteration of cystic artery location and changes in the position of the abdominal ports induced us to modify the standard surgical technique for laparoscopic cholecystectomy; nevertheless, these factors did not alter the result or postoperative evolution of the patient.


Key words: Situs inversus, laparoscopic cholecystectomy.


REFERENCES

  1. Archer SB, Brown DW, Smith CD, Branum GD, Hunter JG. Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg 2001;234:549-558.

  2. Reddick EJ, Olsen DO, Daniell JF, Saye WB, McKernen B, Miller W, et al. Laparoscopic laser cholecystectomy. Laser Med Surg News 1989;7:38-40.

  3. Dubois F, Icard P, Berthelot G, Levard H. Coelioscopic cholecystectomy —Preliminary report of 36 cases. Ann Surg 1989;211:60-62.

  4. Kumar M, Agrawal CS, Gupta RK. Three-port versus standard four-port laparoscopic cholecystectomy: a randomized controlled clinical trial in a community-based teaching hospital in eastern Nepal. JSLS 2007;11:358-362.

  5. Cerci C, Tarhan OR, Barut I, Bülbül M. Three-port versus four-port laparoscopic cholecystectomy. Hepatogastroenterology 2007;54:15-16.

  6. Poon CM, Chan KW, Ko CW, Chan KC, Lee DW, Cheung HY, et al. Twoport laparoscopic cholecystectomy: initial results of a modified technique. J Laparoendosc Adv Surg Tech A 2002;12:259-262.

  7. Dávila ÁF, Dávila ÁU, Montero PJ, Lemus AJ, López AF, Villegas J. Colecistectomía laparoscópica con un solo puerto visible subxifoideo de 5 mm. Rev Mex Cir Endosc 2001;2:16-20.

  8. Díazcontreras PC, Zaldívar RF. Colecistectomía laparoscópica con tres puertos en la línea alba. ¿Tiene menos morbilidad? Cir Gen 2005;27:205-209.

  9. Herrero-Segura A, Fernández EM, Medina-Arana V. Technical modifications for laparoscopic cholecystectomy by the left-handed surgeon. J Laparoendosc Adv Surg Tech A 2007;17:679-685.

  10. Blegen HM. Surgery in situs inversus. Ann Surg 1949;129:244-259.

  11. Katsuhara K, Kawamoto S, Wakabayashi T, Belsky JL. Situs inversus totalis and Kartagener’s syndrome in a Japanese population. Chest 1972;61:56-61.

  12. Fulcher AS, Turner MA. Abdominal manifestations of situs anomalies in adults. Radiographics 2002;22:1439-1456.

  13. Aydin U, Unalp O, Yazici P, Gurcu B, Sozbilen M, Coker A. Laparoscopic cholecystectomy in a patient with situs inversus totalis. World J Gastroenterol 2006;12:7717-7719.

  14. D’Agata A, Boncompagni G. Videolaparocolecitectomia in situ viscerum inversus totalis. Minerva Chir 1997;52:271-275.

  15. Lipschutz JH, Canal DF, Hawes RH, Ruffolo TA, Besold MA, Lehman GA. Laparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroenterol 1992;87:218-220.

  16. Yaghan RJ, Gharaibeh KI, Hammori S. Feasibility of laparoscopic cholecystectomy in situs inversus. J Laparoendosc Adv Surg Tech A 2001;11:233-237.

  17. McKay D, Blake G. Laparoscopic cholecystectomy in situs inversus totalis: a case report. BMC Surg 2005;5:5. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=555757

  18. Machado NO, Chopra P. Laparoscopic cholecystectomy in a patient with situs inversus totalis: feasibility and technical difficulties. JSLS 2006;3:386-391.

  19. Callery MP. Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations. Surg Endosc 2006;20:1654-1658.

  20. Tang B, Cuschieri A. Conversions during laparoscopic cholecystectomy: risk factors and effects on patient outcome. J Gastrointest Surg 2006;10:1081-1091.






>Journals >Cirugía y Cirujanos >Year 2009, Issue 2
 

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