{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:03:01Z","timestamp":1789646581246,"version":"4.0.0"},"reference-count":10,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,31]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Situs inversus totalis is a rare congenital anomaly in which the thoracic and abdominal viscera are transposed in mirror image, placing the gallbladder in the left upper quadrant. Laparoscopic cholecystectomy is consequently demanding for the right-hand-dominant surgeon, who, using a conventionally mirrored setup, would be required to dissect with the non-dominant hand, accept crossing of the operating instruments, or delegate retraction to an additional assistant. We describe a woman in her 40s with situs inversus totalis and symptomatic cholelithiasis who underwent an elective laparoscopic cholecystectomy using a configuration in which the surgeon operated from the patient\u2019s left with both working ports placed subcostally. This allowed dominant-hand dissection while the surgeon retained infundibular retraction, enabling the procedure to be completed safely with a single assistant. The critical view of safety was achieved and the patient\u2019s recovery was uneventful. An annotated operative video accompanies this report as a teaching resource.<\/jats:p>","DOI":"10.1136\/bcr-2026-273525","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:25:13Z","timestamp":1789644313000},"page":"e273525","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic cholecystectomy in situs inversus totalis"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5881-2637","authenticated-orcid":false,"given":"Michael","family":"Keys","sequence":"first","affiliation":[{"name":"Princess Alexandra Hospital, Department of Hepatobiliary and Pancreatic Surgery, Queensland Health, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Colbran","sequence":"additional","affiliation":[{"name":"Princess Alexandra Hospital, Department of Hepatobiliary and Pancreatic Surgery, Queensland Health, Brisbane, Queensland, Australia"},{"name":"The University of Queensland Faculty of Medicine, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hodgkinson","sequence":"additional","affiliation":[{"name":"Princess Alexandra Hospital, Department of Hepatobiliary and Pancreatic Surgery, Queensland Health, Brisbane, Queensland, Australia"},{"name":"The University of Queensland Faculty of Medicine, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"2026091704250847000_19.9.e273525.1","doi-asserted-by":"publisher","DOI":"10.2147\/Ijgm.S295444"},{"key":"2026091704250847000_19.9.e273525.2","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics12051265","article-title":"Look beyond the Mirror: Laparoscopic Cholecystectomy in Situs Inversus Totalis-A Systematic Review and Meta-Analysis (and Report of New Technique)","volume":"12","author":"Enciu","year":"2022","journal-title":"Diagnostics (Basel)"},{"key":"2026091704250847000_19.9.e273525.3","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.924896","article-title":"Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis: Port Placement and Dissection Techniques","volume":"21","author":"Du","year":"2020","journal-title":"Am J Case Rep"},{"key":"2026091704250847000_19.9.e273525.4","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.70222","article-title":"Laparoscopic Cholecystectomy in Situs Inversus Totalis: A Case Report","volume":"13","author":"Lakhey","year":"2025","journal-title":"Clin Case Rep"},{"key":"2026091704250847000_19.9.e273525.5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.22271\/27081494.2024.v6.i2a.105","article-title":"Laparoscopic cholecystectomy in situs inversus totalis: Presentation of a case and operative technique","volume":"6","author":"Modi","year":"2024","journal-title":"Int J Case Rep Surg"},{"key":"2026091704250847000_19.9.e273525.6","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.ijscr.2020.04.045","article-title":"Laparoscopic cholecystectomy in a patient with situs inversus totalis after videolaparoscopic sleeve-Case report","volume":"71","author":"Ponce Leon","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2026091704250847000_19.9.e273525.7","doi-asserted-by":"crossref","DOI":"10.1111\/ases.13346","article-title":"Laparoscopic cholecystectomy and laparoscopic common bile duct exploration for cholecystolithiasis and choledocholithiasis in a patient with situs inversus totalis: A case report","volume":"17","author":"Matsuura","year":"2024","journal-title":"Asian J Endosc Surg"},{"key":"2026091704250847000_19.9.e273525.8","doi-asserted-by":"crossref","first-page":"271","DOI":"10.3126\/kumj.v19i2.49694","article-title":"Laparoscopic Cholecystectomy and Common Bile Duct Exploration in Situs Inversus Patients","volume":"19","author":"Simkhada","year":"2021","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"2026091704250847000_19.9.e273525.9","doi-asserted-by":"crossref","DOI":"10.21037\/asj-21-106","article-title":"Laparoscopic cholecystectomy in a patient with situs inversus totalis: report of a case with surgical tips","volume":"3","author":"Matsumoto","year":"2022","journal-title":"AME Surg J"},{"key":"2026091704250847000_19.9.e273525.10","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjae450","article-title":"Laparoscopic cholecystectomy in situs inversus totalis-surgical technique and procedure safety using anatomical checkpoints","volume":"2024","author":"Cunningham","year":"2024","journal-title":"J Surg Case Rep"}],"container-title":["BMJ Case 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