8 research outputs found
Laparoscopic Cholecystectomy for Severe Acute Cholecystitis in a Patient with Situs Inversus Totalis and Posterior Cystic Artery
Situs inversus totalis is an inherited condition characterized
by a mirror-image transposition of thoracic and abdominal organs. It often coexists
with other anatomical variations. Transposition of the organs imposes special demands
on the diagnostic and surgical skills of the surgeon. We report a case of a 34-year-old
female patient presented with left upper quadrant pain, signs of acute abdomen, and
unknown situs inversus totalis. Severe acute cholecystitis was diagnosed,
and an uneventful laparoscopic cholecystectomy was performed. A posterior cystic
artery was identified and ligated. Laparoscopic cholecystectomy is feasible in patients
with severe acute calculus cholecystitis and situs inversus totalis; however,
the surgeon should be alert of possible anatomic variations
The role of laparoscopic surgery in gastric cancer
The laparoscopic surgery in gastric cancer is applied with increasing frequency nowadays; noticeable reports come mainly from Korea and Japan with satisfactory results. This review presents briefly the issue by evaluating its role. A PubMed search of relevant articles published up to 2010 was performed to identify current information. Most data come from Far East, where gastric cancer occurs more often, and the proportion of early gastric cancer is high. Laparoscopic approach includes both the diagnostic laparoscopy and laparoscopic resection. Laparoscopic gastrectomy has currently limited application for gastric cancer in the West; it is not widely accepted and raises important considerations necessitating the planning of multicentre randomised control trials based mainly on the long-term results