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Single Fulcrum Laparoscopic Cholecystectomy in Situs Inversus Totalis

Authors
 Sun Jung Kim  ;  Jiae Park  ;  Chang Moo Kang  ;  Woo Jung Lee 
Citation
 Journal of Minimally Invasive Surgery, Vol.18(3) : 89-92, 2015 
Journal Title
 Journal of Minimally Invasive Surgery 
ISSN
 2234-778X 
Issue Date
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
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141729
DOI
10.7602/jmis.2015.18.3.89
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
강창무(Kang, Chang Moo) ; 박지애(Park, Jiae) ; 이우정(Lee, Woo Jung)
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