Journal
WORLD JOURNAL OF CLINICAL CASES
Volume 11, Issue 9, Pages 1939-1950Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.12998/wjcc.v11.i9.1939
Keywords
Choledocholithiasis; Choledochotomy; Laparoscopic common bile duct exploration; Single incision; Situs inversus; Transcystic
Categories
Ask authors/readers for more resources
Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LCBDE) have been successfully performed in SI patients with choledocholithiasis. LCBDE offers advantages such as shorter postoperative hospital stay, cost-effectiveness, and fewer complications, but it is technically demanding, especially in difficult cases like SI.
Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Since the 1990s, more than one hundred SI patients have been reported to have successfully undergone laparoscopic cholecystectomy. In these cases, the major problem is to overcome is the left-right condition for right-handed surgeons. Laparoscopic common bile duct exploration (LCBDE), an alternative to treat patients with bile duct stones, has shown equivalent efficacy and is less likely to cause pancreatitis than endoscopic retrograde cholangiopancreatography. Recent updated meta-analyses revealed that a shorter postoperative hospital stay, fewer procedural interventions, cost-effectiveness, a higher stone clearance rate, and fewer perioperative complications are additional advantages of LCBDE. However, the technique is technically demanding, even for skilled laparoscopic surgeons. Conducting LCBDE in patients with difficult situations, such as SI, is more complex than usual. We herein review published SI patients with choledocholithiasis treated by LCBDE, including our own experience, and this paper focuses on the technical aspects.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available