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Inicio Cirugía Española (English Edition) Robotic cholecystectomy in situs inverus totalis
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Vol. 98. Issue 9.
Pages 554 (November 2020)
Vol. 98. Issue 9.
Pages 554 (November 2020)
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Robotic cholecystectomy in situs inverus totalis
Colecistectomía robótica en situs inversus totalis
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Pablo Muriel
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pmuriel.lleida.ics@gencat.cat

Corresponding author.
, Alfredo Escartín, Marta Lourdes González, Jorge Juan Olsina
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitari Arnau de Vilanova, Lleida, Spain
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The Situs inversus totalis supposes the complete transposition of the organs, with an incidence of 1:5.000–1:20.000.1 Associated with bronchiectasias and sinusitis corresponds to Kartagener’s syndrome. Laparoscopic cholecystectomy is more difficult2 given its opposite location in the left hypochondrium (Fig. 1) forcing a “mirror” dissection compared to the standard.

Fig. 1
(0.23MB).

We present an 88-year-old patient, hypothyroid with repetitive pneumonia, studied by CT that confirms Kartagener’s syndrome. The patient reports recurrent biliary colic. The ultrasound confirms cholelithiasis without dilation of the biliary tract. Robotic cholecystectomy is indicated (Fig. 2) for the technical advantages in this case.

Fig. 2
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References
[1]
J.J. Ren, S.D. Li, Y.J. Geng, R. Xiao.
Modified laparoscopic cholecystectomy technique for treatment of situs inversus totalis: a case report.
J Int Med Res., 45 (2017), pp. 1261-1267
[2]
O. Alkhlaiwy, A.M. Almuhsin, E. Zakarneh.
Laparoscopic cholecystectomy in situ inversus totalis.
Int J Surg Case Rep., 59 (2019), pp. 208-212

Please cite this article as: Muriel P, Escartín A, González ML, Olsina JJ. Colecistectomía robótica en situs inversus totalis. Cir Esp. 2020. https://doi.org/10.1016/j.ciresp.2020.03.020

Copyright © 2020. AEC
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