Laparoscopic Cholecystectomy in Situs Inversus Totalis

Shinsaku Funamoto, Sanshiro Kigawa, Syuji Hirai, Takashi Nakakuma, Seiichirou Tsuchihashi, Yoshitomo Koshida*, Yoshiki Hiki*, Akira Kakita*

Department of Surgery, Sapporo East-Tokusyukai Hospital
*Department of Surgery, Kitasato University School of Medicine

A 56-year-old woman with known situs inversus totalis preseneted with leftsided discomfort in the back. Abdominal ultrasonography confirmed the diagnosis of a gallstone, as well as situs inversus with the liver and gallbladder on the left side and the spleen on the right. Laparoscopic cholecystectomy was performed. This paper shows that this technique can be safely and effectively applied in the setting of situs inversus, although attention must be paid to the details of left-right reversal.

Key words
situs inversus totalis, cholelithiasis, laparoscopic cholecystectomy

Reprint requests
Shinsaku Funamoto Department of Surgery, Sapporo East-Tokushykai Hospital
3-21, Higashi-13 chome, Kita-33 jyo, Higashi-ku, Sapporo, 065 JAPAN

Accepted
November 15, 1995

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