Laparoscopic Cholecystectomy and ERCP with Sphincterotomy in a Woman with Situs Inversus Totalis.
- Author:
Hae Hyeon SUH
1
;
Hong Bae PARK
;
Hae Kyung RHEU
Author Information
1. Department of Surgery, Namkwang General Hospital, College of Medicine, Seonam University, and 2Rheu Clinic.
- Publication Type:Original Article
- Keywords:
Situs inversus totalis;
Laparoscopic cholecystectomy;
ERCP;
Sphincterotomy;
Gallstone
- MeSH:
Abdominal Cavity;
Aorta, Thoracic;
Cholangiopancreatography, Endoscopic Retrograde*;
Cholecystectomy;
Cholecystectomy, Laparoscopic*;
Choledocholithiasis;
Cholelithiasis;
Female;
Gallstones;
Genetic Predisposition to Disease;
Heart Defects, Congenital;
Humans;
Incidence;
Pneumoperitoneum;
Situs Inversus*;
Stomach;
Surgical Instruments
- From:Journal of the Korean Surgical Society
1999;57(4):600-605
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus totalis is a mirror image of the normal anatomy in the thoracic and the abdominal cavity. The cardiac apex, the stomach and the aortic arch are all on the right side. It is a rare condition with a genetic predisposition that is autosomal recessive and is associated with a 5-10% incidence of congenital heart disease. In a situs inversus totalis with cholelithiasis and choledocholithiasis, laparoscopic cholecystectomy was performed three days after endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy. In the laparoscopic cholecystectomy, pneumoperitoneum was made by a closed method, and the cholecystectomy was performed using the three trocar technique. Although we should pay much attention to the details of left-right reversal, these techniques can be safely and effectively applied to situs inversus totalis patients.
