Single-incision laparoscopic cholecystectomy using conventional instruments in situs inversus totalis

Area of Science:

• Surgical Innovation
• Gastrointestinal Surgery
• Medical Genetics

Background:

• Situs inversus totalis is a rare congenital condition where major visceral organs are reversed.
• Laparoscopic cholecystectomy is standard for gallbladder disease, but challenging in situs inversus.
• Single-incision laparoscopic cholecystectomy (SILC) offers potential advantages like cosmesis and reduced pain.

Observation:

• A young woman with situs inversus totalis presented for cholecystectomy.
• The procedure was successfully performed using the single-incision laparoscopic cholecystectomy (SILC) technique.
• Conventional laparoscopic instruments were utilized for the surgery.

Findings:

• This case demonstrates the successful application of SILC in a patient with situs inversus totalis.
• The surgery was completed without complications, utilizing standard laparoscopic equipment.
• The feasibility of SILC in this rare anatomical variation was confirmed.

Implications:

• SILC may be a viable and advantageous surgical option for cholecystectomy in patients with situs inversus totalis.
• This approach could improve patient outcomes regarding cosmesis and postoperative discomfort.
• Further research into SILC for rare conditions like situs inversus totalis is warranted.