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Laparoscopic Cholecystectomy with a Mixed Approach in a Patient with Kartagener Syndrome: Technical Report and Review of Literature

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Abstract

Kartagener syndrome (KS) is a rare autosomal recessive disease. The disease is characterized by three typical symptoms: chronic sinusitis, situs viscerum inversus (SVI), and bronchiectasis. The laparoscopic cholecystectomy (LC) is the standard procedure in most cases of cholelithiasis, but in SVI patients it can be difficult, especially for right-handed surgeons. We report the case of a 24-year-old female affected by KS, presenting with a history of symptomatic cholelithiasis. Ultrasound and magnetic resonance cholangiopancreatography confirmed SVI totalis and cholelithiasis. The patient underwent a laparoscopic cholecystectomy by a right-handed surgeon performed with a mixed approach without complications. Laparoscopic cholecystectomy in SVI patients can be a safe and reliable technique especially for a left-handed surgeon. The described technique is also easy for a right-handed surgeon. However, it is considered a technically challenging procedure and often requires technical modification.

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Authors and Affiliations

  1. Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Via Sergio Pansini 5, 80131, Naples, Italy

    Giuseppe Palomba, Vincenza Paola Dinuzzi, Michele Manigrasso, Marco Milone, Giovanni Domenico De Palma & Giovanni Aprea

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  1. Giuseppe Palomba
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  2. Vincenza Paola Dinuzzi
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  3. Michele Manigrasso
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  4. Marco Milone
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  5. Giovanni Domenico De Palma
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  6. Giovanni Aprea
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Correspondence to Giuseppe Palomba.

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Palomba, G., Dinuzzi, V.P., Manigrasso, M. et al. Laparoscopic Cholecystectomy with a Mixed Approach in a Patient with Kartagener Syndrome: Technical Report and Review of Literature. Indian J Surg 83, 411–417 (2021). https://doi.org/10.1007/s12262-020-02240-9

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  • DOI: https://doi.org/10.1007/s12262-020-02240-9

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