Technical modifications for laparoscopic cholecystectomy by the left-handed surgeon

Area of Science:

• Surgical Techniques
• Minimally Invasive Surgery
• Surgical Education

Background:

• Limited literature exists on challenges faced by left-handed surgeons.
• Left-handed surgical residents may experience reduced operating skills and career dissatisfaction due to laterality-related frustrations.
• Minimally invasive techniques, including laparoscopic cholecystectomy, still present discomfort for left-handed surgeons using standard right-handed instruments.

Purpose of the Study:

• To describe modifications for left-handed surgeons performing laparoscopic cholecystectomy using standard right-handed instruments.
• To present a reproducible method for left-handed surgeons to improve comfort, convenience, and safety during procedures.
• To address the recurring difficulties faced by left-handed learners in surgical residency programs.

Main Methods:

• A left-handed surgeon performed 52 laparoscopic cholecystectomies using standard right-handed instruments.
• Specific modifications and technical tips were self-taught and implemented during the procedures.
• The study focused on describing these adaptations for educational purposes.

Main Results:

• Successful completion of 52 laparoscopic cholecystectomies by a left-handed surgeon using right-handed instruments.
• The described modifications facilitated comfortable, convenient, and safe interventions.
• The study provides a basis for reproducible surgical steps for left-handed surgeons.

Conclusions:

• Left-handed surgeons can successfully perform laparoscopic cholecystectomy with standard instruments through self-developed modifications.
• These adaptations can enhance surgical outcomes and reduce frustration for left-handed surgeons.
• Implementing these techniques can improve surgical residency training for left-handed individuals.