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Overcoming mirror anatomy: surgical strategies for laparoscopic cholecystectomy in situs inversus totalis: a case report

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Case report details successful laparoscopic cholecystectomy in a patient with situs inversus totalis, highlighting challenges in anatomical reversal.

The laparoscopic cholecystectomy was successfully completed in a patient with situs inversus totalis, presenting unique surgical challenges.
Using a four-port approach, the surgery lasted 65 minutes without bile duct anatomical deviations, showcasing the need for flexibility.
The patient experienced symptoms linked to gallstones, which were confirmed through diagnostic imaging, prompting the surgical intervention.
The case underscores the importance of specialized surgical strategies and thorough preoperative preparation for managing reversed anatomy.

Khanzada et al. (2025) studied this question.

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Case report details successful laparoscopic cholecystectomy in a patient with situs inversus totalis, highlighting challenges in anatomical reversal.