Introduction: First laparoscopic cholecystectomy in situs inversus totalis (SIT) patients was described by Campos and Sipes. We present a retrospective study of five cases in whom laparoscopic cholecystectomy was done for symptomatic cholelithiasis.
Methodology: This is a retrospective study from 2005 to 2021. All the patients in the study were done by a single surgeon at various hospitals in the state. All recorded data from patients and from hospitals was taken and analyzed.
Results: Our study included five patients with the mean age of 31.6 years. All the patients were females. Our patients presented with complaints of epigastric pain (2), dyspepsia (1), and pain in the left upper abdomen (2). There was no associated cardiac anomaly in our patients. The first three patients were operated on using conventional mirror image technique, the fourth one by modified mirror image, and the last one using French technique. In initial cases operating time was 45–50 minutes which decreased up to 35–40 minutes in the last cases. All patients were discharged on the first postoperative day after tolerating orals and with the satisfactory condition on discharge. There was no intra- or postoperative complication in our study. There was no 30-day mortality in our patients.
Conclusion: SIT is a rare congenital anomaly. A laparoscopic cholecystectomy is a safe approach with meticulous dissection in these patients with cholelithiasis. Technical difficulties could be overcome due to learning and better understatement of ergonomics of these patients.
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