Laparoscopic cholecystectomy in situs inversus totalis: Presentation of a case and operative technique

Abstract

Since Mouret first performed it in 1987, laparoscopic cholecystectomy has become the gold standard operative procedure for cholelithiasis. Situs inversus totalis (SIT) is a congenital disorder in which the visceral organs are mirrored from their normal anatomical position. Diagnosis and management of cholelithiasis in patient with SIT poses a challenge due to the underlying anatomical variation.Several cases have been reported in patients with situs inversus totalis.Laparoscopic cholecystectomy in these patients is technically more demanding and needs reorientation of visual-motor skills to the left upper quadrant.