Successful anesthesia management improves postoperative recovery in patients with situs inversus totalis undergoing laparoscopic cholecystectomy, suggesting careful planning is essential.
Laparoscopic cholecystectomy is one of the most commonly performed surgical procedures in routine clinical practice. However, when a patient with situs inversus totalis (SIT) presents for this surgery, it poses unique anatomical and anesthetic challenges that require careful perioperative planning. We report the successful anesthetic management of a patient with SIT undergoing laparoscopic cholecystectomy. A 56-year-old female with a history of dextrocardia and recurrent respiratory symptoms presented with left-sided hypochondriac pain and was diagnosed with SIT and cholelithiasis. Imaging confirmed mirror-image anatomy and a distended gallbladder with multiple calculi. She underwent an uneventful laparoscopic cholecystectomy under general anesthesia with specific modifications for her reversed anatomy. Postoperative recovery was smooth, and she was discharged on the second postoperative day. Thorough preoperative evaluation, careful intraoperative planning, and attentive postoperative care effectively manage SIT patients undergoing laparoscopic cholecystectomy.
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Prakash et al. (2025) studied this question.
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