Trejo RA, Castañeda RA, Quintero CA, Reynoso MJ

Language: Spanish
References: 3
Page: 218-220
PDF size: 216.78 Kb.

ABSTRACT

Situs inversus is a rare abnormality in the position of the thoracoabdominal organs that produces a mirror image, which can be undetected for being asymptomatic but is very important for the diagnosis and treatment of several diseases especially those which require surgical resolution, among these, we found in order of frequency: Appendectomy, cholecystectomy and bowel obstructions. In most cases the diagnosis was situs inversus by advances in preoperative imaging studies, but the intraoperative diagnosis can lead to incorrect incisions. Now since the beginning laparoscopic surgery, has reduced the previous despite this implies an increase in the technical difficulty of the procedure also to be modified with a surgical technique commonly used and the placement of working ports, to suit the surgeon is usually right, but being left-handed surgeon has a greater ability for dissection than both hands.

REFERENCES

1. McKay DA, Blake GE. Laparoscopic cholecystectomy in situs inversus totalis: a case report. BMC Surgery. 2005; 5: 1471-1472.

2. Oms LM, Badia JM. Laparoscopic cholecystectomy in situs inversus totalis: the importance of being left-handed. Surg Endosc. 2003; 17: 1859-1861.

3. Tang CN, Li MK. Technical aspects in the laparoscopic management of complicated common bile duct stones. J Hepatobiliary Pancreat Surg. 2005; 12: 444-450.