Laparoscopic Cholecystectomy and Common Bile Duct Exploration in Situs Inversus Totalis: A Case Report

Background Situs inversus totalis (SIT) is a rare congenital anatomical anomaly that complicates the diagnosis and management of biliary stone disease. Case presentation: We report a 52-year-old female patient with SIT who presented with cholelithiasis complicated by choledocholithiasis and was successfully treated with laparoscopic cholecystectomy (LC) combined with laparoscopic common bile duct exploration (LCBDE) and T-tube drainage. A standard “American mirror technique” [21]was adopted for trocar placement, with the primary surgeon and camera operator positioned on the patient’s right side and the assistant on the left. Following routine cholecystectomy, choledocholithiasis was managed via choledochotomy and intraoperative choledochoscopic exploration, and the stones were successfully removed using a retrieval basket. Conclusion This case demonstrates that LC combined with LCBDE and T-tube drainage can be performed safely and effectively in patients with SIT when undertaken by surgeons with extensive laparoscopic experience.