The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard

Situs Inversus is a rare condition (1 in 5000-10000 hospital admissions) and Laparoscopic Cholecystectomy (LC) for symptomatic gallstones in such patients is even rarer. Only about 70 cases have been reported so far. This otherwise commonly performed surgery takes on a whole new avatar due to the un...

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Main Authors: Sukumar Santosh Kumar, Anamika Sinha
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/12066/37476_CE[Ra1]_F(SHU)_PF1(PG_SHU)_PN(SHU).pdf
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author Sukumar Santosh Kumar
Anamika Sinha
author_facet Sukumar Santosh Kumar
Anamika Sinha
author_sort Sukumar Santosh Kumar
collection DOAJ
description Situs Inversus is a rare condition (1 in 5000-10000 hospital admissions) and Laparoscopic Cholecystectomy (LC) for symptomatic gallstones in such patients is even rarer. Only about 70 cases have been reported so far. This otherwise commonly performed surgery takes on a whole new avatar due to the unique challenges of disorientation induced by the ‘mirror image’ positioning of the viscera and its attendant ergonomic difficulties. The instincts and habits acquired by a laparoscopic surgeon after climbing the learning curve, though definitely an advantage in this situation, can serve as a handicap as well. Our experience of managing such a case is presented in this article.
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spelling doaj.art-d77894865c65487b9767a75d759dc4d82022-12-21T21:14:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-09-01129PD11PD1310.7860/JCDR/2018/37476.12066The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die HardSukumar Santosh Kumar0Anamika Sinha1Professor, Department of Surgery, Base Hospital and ACMS, Delhi Cantt, New Delhi, India.Associate Professor, Department of Pathology, Base Hospital and ACMS, Delhi Cantt, New Delhi, India.Situs Inversus is a rare condition (1 in 5000-10000 hospital admissions) and Laparoscopic Cholecystectomy (LC) for symptomatic gallstones in such patients is even rarer. Only about 70 cases have been reported so far. This otherwise commonly performed surgery takes on a whole new avatar due to the unique challenges of disorientation induced by the ‘mirror image’ positioning of the viscera and its attendant ergonomic difficulties. The instincts and habits acquired by a laparoscopic surgeon after climbing the learning curve, though definitely an advantage in this situation, can serve as a handicap as well. Our experience of managing such a case is presented in this article.https://jcdr.net/articles/PDF/12066/37476_CE[Ra1]_F(SHU)_PF1(PG_SHU)_PN(SHU).pdfgallstonesmirror imagerisk factorstechniquesitus inversus
spellingShingle Sukumar Santosh Kumar
Anamika Sinha
The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
Journal of Clinical and Diagnostic Research
gallstones
mirror image
risk factors
technique
situs inversus
title The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
title_full The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
title_fullStr The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
title_full_unstemmed The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
title_short The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die Hard
title_sort laterally inverted laparoscopic cholecystectomy unlearning the learning curve helps but old habits die hard
topic gallstones
mirror image
risk factors
technique
situs inversus
url https://jcdr.net/articles/PDF/12066/37476_CE[Ra1]_F(SHU)_PF1(PG_SHU)_PN(SHU).pdf
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