The ‘Laterally Inverted’ Laparoscopic Cholecystectomy: Unlearning the Learning Curve Helps, but Old Habits Die HardCorrespondence Address :
Dr. Sukumar Santosh Kumar,
Professor, Department of Surgery, Base Hospital and ACMS, Delhi Cantt-110010, 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.
Gallstones, Mirror image, Risk factors, Technique, Situs Inversus
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 [serial online] 2018 September [cited: 2018 Sep 18 ]; 12:PD11-PD13. Available from
Date of Submission: Jun 09, 2018
Date of Peer Review: Jul 10, 2018
Date of Acceptance: Jul 11, 2018
Date of Publishing: Sep 01, 2018
Financial OR OTHER COMPETING INTERESTS: None.
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