Abstract
Laparoscopic bariatric surgeries are technically demanding procedures in the high-risk population. Any deviation from normal anatomy in those patients poses therefore a special challenge. A typical example for deranged anatomic landmarks is situs inversus totalis (SIT), which is a rare congenital abnormality (1:5,000–1:20,000 new births) with mirror image transposition of the abdominal and thoracic organs [ [1] McKay D. Blake G. Laparoscopic cholecystectomy in situs inversus totalis: a case report. BMC Surg. 2005; 175: 5 Crossref Scopus (41) Google Scholar ]. The presence of SIT in morbidly obese patients undergoing bariatric surgical interventions necessitates meticulous perioperative practice. Herein, we present our experience in 2 morbidly obese patients with SIT, who underwent laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in our clinic. Additionally, we reviewed the literature for similar reports.
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