Two Surgeons' Technique for Laparoscopic Cholecystectomy in Situs Inversus for a Right-Handed Surgeon: Technical and Ergonomic Considerations.
| Autor: | M VB; Department of Surgical Gastroenterology, Employees' State Insurance Corporation (ESIC) Medical College and Hospital, Hyderabad, IND., Vaddavalli VV; Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND., Abuji K; Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND., Palle P; Department of General Surgery, Gandhi Medical College and Hospital, Hyderabad, IND., Ramavath K; Department of General Surgery, All India Institute of Medical Sciences, Hyderabad, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Apr 26; Vol. 15 (4), pp. e38161. Date of Electronic Publication: 2023 Apr 26 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.38161 |
| Abstrakt: | Laparoscopic cholecystectomy can be technically challenging in patients with situs inversus totalis. A middle-aged gentleman presented with pain in the left upper abdomen. His cardiac workup showed dextrocardia, and ultrasonography showed a gall bladder on the left side. He was diagnosed with acute cholecystitis and was planned for laparoscopic cholecystectomy. We used the four-port technique, where anterior dissection was carried out by the dominant right hand of the primary surgeon, and the infundibulum was retracted by the first assistant from the mid-clavicular port. The first assistant carried out the posterior dissection through a midclavicular port, whereas the primary surgeon did a retraction. To conclude, this technique done by two surgeons decreases the ergonomic difficulty faced by right-handed surgeons while performing laparoscopic cholecystectomy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, M et al.) |
| Databáze: | MEDLINE |
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