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Single Fulcrum Laparoscopic Cholecystectomy in Situs Inversus Totalis

Title
Single Fulcrum Laparoscopic Cholecystectomy in Situs Inversus Totalis
Authors
Sun Jung Kim;Jiae Park;Woo Jung Lee;Chang Moo Kang
Issue Date
2015
Journal Title
Journal of Minimally Invasive Surgery
ISSN
2234-778X
Citation
Journal of Minimally Invasive Surgery, Vol.18(3) : 89~92, 2015
Abstract
Single fulcrum laparoscopic cholecystectomy (SFLC) is a modified version of single incision laparoscopic cholecystectomy (SILC). In this article we report on the first experience of SFLC in a patient with situs inversus totalis (SIT). A 36-year-old female patient with SIT whose gallbladder was located on the left side was admitted to hospital due to a symptomatic gallbladder stone; 2 cm of transumbilical skin and subcutaneous fat layer were dissected and the fascia layer was left undissected to make two openings at the upper and lower part each, dividing where trocars were placed. Compared to conventional SFLC or SILC, the right hand, which is dominant for most people, performed the main operating movements, such as cutting and clipping, while the other hand was retracting the fundus of the gallbladder to show the Calot triangle. SFLC is a facilitating operation in that it does not require a specialized trocar or instruments, and is also convenient for a patient with SIT.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/141729
DOI
10.7602/jmis.2015.18.3.89
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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