Laparoscopic Cholecystectomy in Situs Inversus Totalis: Challenges, Difficulties and Solutions A Case Series Study Saad Muwafaq Attash* CABMS

Keywords: Situs inversus totalis, Laparoscopic cholecystectomy, Critical view of safety


Background: Situs inversus totalis is a rare autosomal recessive disorder which can cause diagnostic challenges in a lot of clinical conditions including calculous cholecystitis due to the reversed anatomical position of abdominal viscera.
This is a case series study including three patients who were diagnosed to have situs inversus totalis with gallstones between May 2012 and December 2013 at our laparoscopic unit at Mosul Medical City and underwent laparoscopic cholecystectomy. The 1st two patients were 43 and 51-year-old women, respectively while the 3rd one was a 38-year-old male. All had symptomatic gallstones and all were already diagnosed to have situs inversus totalis at time of referral to us. The three patients underwent laparoscopic cholecystectomy safely and easily after adjustment of the positions of the team members inside the operative theatre and of the port sites. All of them were discharged home after 24 hours and on regular follow up visits afterward they were doing well and free of symptoms.