Abstract
Since laparoscopic cholecystectomy has become the standard procedure for the treatment of gallstone disease, several cases have been reported in patients with situs inversus. These cases require more technically demanding procedures due to the symmetrical disposition of the anatomy. Thus, handedness could influence the performance of these operations. The two of us (L.M.O.) and (J.M.B.), a right-handed and a left-handed surgeon, respectively, placed the instruments in reverse mode from that used in orthotopic patients. The right-handed surgeon felt more impairment when dissecting with his left hand and decided to cross the instruments within the abdomen. The left-handed surgeon was able to alternate the performance of the dissection maneuvers between the right and left hands. Surgical procedures are apparently designed for right-handed surgeons and can be approached by the left-handed in alternative ways. In fact, the accommodation of laparoscopic cholecystectomy to left-handedness has been described in the literature. The rare opportunity to operate in a symmetrical way allows the right-handed surgeon to understand the absence of comfort and ergonomy often experienced by left-handed colleagues.
References
M Al-Jumaily F Hoche (2001) ArticleTitleLaparoscopic cholecystectomy in situs inversus totalis: is it safe? J Laparoendosc Adv Surg Tech A 11 229–231 Occurrence Handle10.1089/109264201750539754 Occurrence Handle1:STN:280:DC%2BD3MritFCkuw%3D%3D Occurrence Handle11569513
MR Cholst (1947) ArticleTitleDiscrepancies in pain and symptom distribution: position of the testicle as a diagnostic sign in situs inversus totalis. Am J Surg 73 104–107
A D’Agata G Boncompagni (1997) ArticleTitleVideolaparocolecitectomia in situ viscerum inversus totalis. Minerva Chir 52 271–275 Occurrence Handle1:STN:280:ByiB2Mzmt1M%3D Occurrence Handle9148216
H Demetriades D Botsios C Dervenis J Evagelou S Agelopoulos J Dadoukis (1999) ArticleTitleLaparoscopic cholecystectomy in two patients with symptomatic cholelithiasis and situs inversus totalis. Dig Surg 16 519–521 Occurrence Handle10.1159/000018780 Occurrence Handle1:STN:280:DC%2BD3c3mtlejtg%3D%3D Occurrence Handle10805554
RS Djohan HE Rodriguez IM Wiesman JA Unti FJ Podbielski (2000) ArticleTitleLaparoscopic cholecystectomy and appendectomy in situs inversus totalis. J Soc Laparoendosc Surg 4 251–254 Occurrence Handle1:STN:280:DC%2BD3M%2FntlKmtQ%3D%3D
JW Drover KT Nguyen RF Pace (1992) ArticleTitleLaparoscopic cholecystectomy in a patient with situs inversus viscerum: a case report. Can J Surg 35 65–66 Occurrence Handle1:STN:280:By2C2Mvltlw%3D Occurrence Handle1531441
SM Huang GY Chau WY Lui (1992) ArticleTitleLaparoscopic cholecystectomy for cholelithiasis in a patient with situs inversus totalis. Endoscopy 24 802–803 Occurrence Handle1:STN:280:ByyC3crptlU%3D Occurrence Handle1468405
JH Lipschutz DF Canal RH Hawes TA Ruffolo MA Besold GA Lehman GA Lehman (1992) ArticleTitleLaparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroenterol 87 218–220
JP MeDermott PF Caushaj (1994) ArticleTitleERCP and laparoscopic cholecystectomy for cholangitis in a 66-year-old male with situs inversus. Surg Endosc 8 1227–1229 Occurrence Handle7809812
TZ Nursal A Baykal D Iret O Aran (2001) ArticleTitleLaparoscopic cholecystectomy in a patient with situs inversus totalis. J Laparoendosc Adv Surg Tech A 11 239–241 Occurrence Handle10.1089/109264201750539772 Occurrence Handle1:STN:280:DC%2BD3MritFCrsw%3D%3D Occurrence Handle11569515
A Polychronidis A Karayiannakis S Botaitis S Perente C Simopoulos (2002) ArticleTitleLaparoscopic cholecystectomy in a patient with situs inversus totalis and previous abdominal surgery. Surg Endosc 16 1110 Occurrence Handle10.1007/s00464-001-4242-6 Occurrence Handle1:STN:280:DC%2BD38vhtFGhsg%3D%3D
L Pow B Tulloh (1995) ArticleTitleLaparoscopic cholecystectomy for the left-handed surgeon. Br J Surg 82 138
SC Schachter BJ Ransil (1996) ArticleTitleHandedness distribution in nine profesional groups. Percept Motor Skills 82 51–63 Occurrence Handle1:STN:280:BymB3snhsVA%3D
L Schiffino J Mouro H Levard F Dubois (1993) ArticleTitleColecistectomia per via lapaocopica in situs inversus totalis. Minerva Chir 48 1019–1023 Occurrence Handle1:STN:280:ByuC3Mbks1U%3D Occurrence Handle8290144
K Singh A Dhir (2002) ArticleTitleLaparoscopic cholecystectomy in situs inversus totalis: a case report. Surg Technol Int 10 107–108 Occurrence Handle12384871
HT Takei JG Maxvell TV Clancy EA Tinsley (1992) ArticleTitleLaparoscopic cholecystectomy in situs inversus totalis. J Laparoendosc Surg 2 171–176 Occurrence Handle1:STN:280:By2A1Mbos1Y%3D Occurrence Handle1388070
J Wong CN Tang CH Chau YW Luk MK Li (2001) ArticleTitleLaparoscopic cholecystectomy and exploration of common bile duct in a patient with situs inversus. Surg Endos 15 218 Occurrence Handle1:STN:280:DC%2BD38vktlSgtA%3D%3D
RJ Yaghan KI Gharaibeh S Hammori (2001) ArticleTitleFeasibility of laparoscopic cholecystectomy in situs inversus. J Laparoendosc Adv Surg Tech A 11 233–237 Occurrence Handle10.1089/109264201750539763 Occurrence Handle1:STN:280:DC%2BD3MritFCrsg%3D%3D Occurrence Handle11569514
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Oms, L., Badia, J. Laparoscopic cholecystectomy in situs inversus totalis: The importance of being left-handed . Surg Endosc 17, 1859–1861 (2003). https://doi.org/10.1007/s00464-003-9051-7
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DOI: https://doi.org/10.1007/s00464-003-9051-7