Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review
Abstract Background Situs inversus totalis is a rare autosomal disorder in which the patient’s affected visceral organs are a perfect mirror image of their normal positions. Surgery in these patients is technically challenging. Minimally invasive surgery such as laparoscopic cholecystectomy is the s...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-017-0242-x |
| _version_ | 1828336282141458432 |
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| author | Narongsak Rungsakulkij Pongsatorn Tangtawee |
| author_facet | Narongsak Rungsakulkij Pongsatorn Tangtawee |
| author_sort | Narongsak Rungsakulkij |
| collection | DOAJ |
| description | Abstract Background Situs inversus totalis is a rare autosomal disorder in which the patient’s affected visceral organs are a perfect mirror image of their normal positions. Surgery in these patients is technically challenging. Minimally invasive surgery such as laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis, but it can be difficult to perform. Laparoscopic cholecystectomy in patients with situs inversus totalis may be even more technically challenging. Fluorescence cholangiography is a new innovation in the field of navigation surgery. This procedure is safe and easy to perform, its findings are easy to interpret, and it does not require a learning curve or radiographs. It can be used in real time during surgery to identify extrahepatic biliary structures. Case presentation We herein report a case of situs inversus totalis in a Thai patient with a history of biliary pancreatitis. He underwent laparoscopic cholecystectomy with intraoperative fluorescence cholangiography. The operation was successfully completed without complications. To the best of our knowledge, this is the first case report of the use of fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus. Conclusion Fluorescence cholangiographyis a new navigational surgical technique with which to identify extrahepatic biliary structures. It can be used as an adjunct technique during laparoscopic cholecystectomy to avoid biliary tract injury in difficult cases. |
| first_indexed | 2024-04-13T21:58:46Z |
| format | Article |
| id | doaj.art-e8b6d8845b9e49e7b1fc66604a6147d6 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T21:58:46Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-e8b6d8845b9e49e7b1fc66604a6147d62022-12-22T02:28:10ZengBMCBMC Surgery1471-24822017-04-011711410.1186/s12893-017-0242-xFluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature reviewNarongsak Rungsakulkij0Pongsatorn Tangtawee1Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityDepartment of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityAbstract Background Situs inversus totalis is a rare autosomal disorder in which the patient’s affected visceral organs are a perfect mirror image of their normal positions. Surgery in these patients is technically challenging. Minimally invasive surgery such as laparoscopic cholecystectomy is the standard treatment for symptomatic cholelithiasis, but it can be difficult to perform. Laparoscopic cholecystectomy in patients with situs inversus totalis may be even more technically challenging. Fluorescence cholangiography is a new innovation in the field of navigation surgery. This procedure is safe and easy to perform, its findings are easy to interpret, and it does not require a learning curve or radiographs. It can be used in real time during surgery to identify extrahepatic biliary structures. Case presentation We herein report a case of situs inversus totalis in a Thai patient with a history of biliary pancreatitis. He underwent laparoscopic cholecystectomy with intraoperative fluorescence cholangiography. The operation was successfully completed without complications. To the best of our knowledge, this is the first case report of the use of fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus. Conclusion Fluorescence cholangiographyis a new navigational surgical technique with which to identify extrahepatic biliary structures. It can be used as an adjunct technique during laparoscopic cholecystectomy to avoid biliary tract injury in difficult cases.http://link.springer.com/article/10.1186/s12893-017-0242-xSitus inversusSitus inversus totalisLaparoscopic cholecystectomyFluorescence cholangiographyCholelithiasis |
| spellingShingle | Narongsak Rungsakulkij Pongsatorn Tangtawee Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review BMC Surgery Situs inversus Situs inversus totalis Laparoscopic cholecystectomy Fluorescence cholangiography Cholelithiasis |
| title | Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review |
| title_full | Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review |
| title_fullStr | Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review |
| title_full_unstemmed | Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review |
| title_short | Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review |
| title_sort | fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis a case report and literature review |
| topic | Situs inversus Situs inversus totalis Laparoscopic cholecystectomy Fluorescence cholangiography Cholelithiasis |
| url | http://link.springer.com/article/10.1186/s12893-017-0242-x |
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