Single Fulcrum Laparoscopic Cholecystectomy in Situs Inversus Totalis.
10.7602/jmis.2015.18.3.89
- Author:
Sun Jung KIM
1
;
Jiae PARK
;
Chang Moo KANG
;
Woo Jung LEE
Author Information
1. Department of HBP Surgery, Yonsei University College of Medicine, Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center, Severance Hospital, Seoul, Korea. cmkang@yuhs.ac
- Publication Type:Case Report
- Keywords:
Single fulcrum laparoscopic cholecystectomy;
Situs inversus totalis;
Single incision laparoscopic cholecystectomy
- MeSH:
Adult;
Cholecystectomy, Laparoscopic*;
Fascia;
Female;
Gallbladder;
Hand;
Humans;
Situs Inversus*;
Skin;
Subcutaneous Fat;
Surgical Instruments
- From:Journal of Minimally Invasive Surgery
2015;18(3):89-92
- CountryRepublic of Korea
- Language:English
-
Abstract:
Single fulcrum laparoscopic cholecystectomy (SFLC) is a modified version of single incision laparoscopic cholecystectomy (SILC). In this article we report on the first experience of SFLC in a patient with situs inversus totalis (SIT). A 36-year-old female patient with SIT whose gallbladder was located on the left side was admitted to hospital due to a symptomatic gallbladder stone; 2 cm of transumbilical skin and subcutaneous fat layer were dissected and the fascia layer was left undissected to make two openings at the upper and lower part each, dividing where trocars were placed. Compared to conventional SFLC or SILC, the right hand, which is dominant for most people, performed the main operating movements, such as cutting and clipping, while the other hand was retracting the fundus of the gallbladder to show the Calot triangle. SFLC is a facilitating operation in that it does not require a specialized trocar or instruments, and is also convenient for a patient with SIT.
