Background: Situs inversus totalis is inherited as an autosomal recessive trait and occurs in approximately 1 per 10 to 20.000 live births. It’s definite as the transposition of both the thoracic and abdominal viscera to the opposite side of the body. Case Presentation: D.D. was a 42 y old man who experienced 6 months prior of his presentation intermittent nausea,intermittent epigastric pain that radiated laterally to both sides of upper abdomen,shoulder pain and bloating after some meals. He received an abdominal US that showed the presence of gallstones without biliary tree distention, with gallbladder wall thickening. Patient underwent laparoscopic cholecystectomy. The operation was carried out in the usual manner with the trocars placed in locations on the left side of the abdomen as mirror images to their usual location on the right side. On laparoscopic examination the intra-abdominal anatomy was the mirror image of the normal view. Dissection of the triangle Calot and application of the clip and gallbladder dissection was performed by operator’s left hand through the subxiphoid trocar. Conclusions: Some authors suggest that laparoscopic cholecystectomy in patients with left-sided gallbladder is preferred to be performed by left handed surgeons due to better ergonomy; we suggest that surgeon should be right and left handed with experience in laparoscopy and hepatobiliary surgery.

Case Report: Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis / Dezzi, Claudia; Urbano, Vincenzo; Forte, Angelo; Bezzi, Marcello; Manfredelli, Simone. - In: EUROPEAN SURGICAL RESEARCH. - ISSN 0014-312X. - 45:(2010), pp. 175-175.

Case Report: Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis

DEZZI, CLAUDIA;URBANO, Vincenzo;FORTE, Angelo;BEZZI, Marcello;MANFREDELLI, SIMONE
2010

Abstract

Background: Situs inversus totalis is inherited as an autosomal recessive trait and occurs in approximately 1 per 10 to 20.000 live births. It’s definite as the transposition of both the thoracic and abdominal viscera to the opposite side of the body. Case Presentation: D.D. was a 42 y old man who experienced 6 months prior of his presentation intermittent nausea,intermittent epigastric pain that radiated laterally to both sides of upper abdomen,shoulder pain and bloating after some meals. He received an abdominal US that showed the presence of gallstones without biliary tree distention, with gallbladder wall thickening. Patient underwent laparoscopic cholecystectomy. The operation was carried out in the usual manner with the trocars placed in locations on the left side of the abdomen as mirror images to their usual location on the right side. On laparoscopic examination the intra-abdominal anatomy was the mirror image of the normal view. Dissection of the triangle Calot and application of the clip and gallbladder dissection was performed by operator’s left hand through the subxiphoid trocar. Conclusions: Some authors suggest that laparoscopic cholecystectomy in patients with left-sided gallbladder is preferred to be performed by left handed surgeons due to better ergonomy; we suggest that surgeon should be right and left handed with experience in laparoscopy and hepatobiliary surgery.
2010
01 Pubblicazione su rivista::01a Articolo in rivista
Case Report: Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis / Dezzi, Claudia; Urbano, Vincenzo; Forte, Angelo; Bezzi, Marcello; Manfredelli, Simone. - In: EUROPEAN SURGICAL RESEARCH. - ISSN 0014-312X. - 45:(2010), pp. 175-175.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/354715
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact