{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:29:11Z","timestamp":1777937351768,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:p>Situs inversus totalis (SIT) is a rare genetic condition that presents a significant challenge for laparoscopic surgery because of its mirror-image anatomy. While reported globally, this is the first documented case of laparoscopic cholecystectomy (LC) for symptomatic cholelithiasis in a patient with SIT in Ethiopia. A 43-year-old female with known SIT presented to the hospital with a 5-year history of dyspepsia and left upper quadrant abdominal pain. Ultrasound confirmed cholelithiasis. After a thorough preoperative workup to rule out associated syndromes, she underwent elective LC. A modified trocar placement and the \u201cFrench\u201d patient position were utilized to accommodate the anatomical reversal and facilitate the procedure for a right-handed surgical team. LC is a feasible and safe procedure for patients with SIT, even in settings where laparoscopy is emerging. The French position can simplify the procedure by minimizing the cognitive and technical load for the surgeon, avoiding the need for a complete mirror-image setup. This case underscores the potential for expanding advanced minimally invasive techniques in Ethiopia through collaborative education and training.<\/jats:p>","DOI":"10.1177\/10926429261431198","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T15:23:58Z","timestamp":1774279438000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["First Case of Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis in Ethiopia"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5543-0054","authenticated-orcid":false,"given":"Emma","family":"Mulet","sequence":"first","affiliation":[{"name":"MedSurgSupport, Lyon, France."},{"name":"H\u00f4pital Lyon Sud, Hospices Civils de Lyon, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatek","family":"Atile","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsion","family":"Mekasha","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bekan","family":"Eshetu","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solomon","family":"Ayalewu","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadese","family":"Gonfa","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"B\u00e9atrix","sequence":"additional","affiliation":[{"name":"MedSurgSupport, Lyon, France."},{"name":"H\u00f4pital Lyon Sud, Hospices Civils de Lyon, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-C\u00e9cile","family":"Blanchet","sequence":"additional","affiliation":[{"name":"MedSurgSupport, Lyon, France."},{"name":"La Sauvegarde, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nehemia I.","family":"Kassa","sequence":"additional","affiliation":[{"name":"MIS Africa, Addis Ababa, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abel B.","family":"Mitiku","sequence":"additional","affiliation":[{"name":"MIS Africa, Addis Ababa, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Efeson","sequence":"additional","affiliation":[{"name":"MIS Africa, Addis Ababa, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1472-1533","authenticated-orcid":false,"given":"Tolera Kebede","family":"Alemu","sequence":"additional","affiliation":[{"name":"Arsi University Comprehensive Specialized Hospital, Adama, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Segni","family":"Bekele","sequence":"additional","affiliation":[{"name":"Grand Bishoftu Hospital, Bishoftu, Ethiopia."},{"name":"MIS Africa, Addis Ababa, Ethiopia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_3_5_2_1","first-page":"211","article-title":"Situs inversus totalis","volume":"9","author":"Ko\u00e7 A","year":"2021","unstructured":"1.Ko\u00e7 A. Situs inversus totalis. OrphanAnesthesia 2021;9:211\u2013220.","journal-title":"OrphanAnesthesia"},{"issue":"5","key":"e_1_3_5_3_1","first-page":"744","article-title":"How I developed laparoscopic cholecystectomy","volume":"25","author":"Mouret P","year":"1996","unstructured":"2.Mouret P. How I developed laparoscopic cholecystectomy. Ann Acad Med Singap 1996;25(5):744\u2013747.","journal-title":"Ann Acad Med Singap"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1777710"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-12143-z"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2013.02.030"},{"issue":"2","key":"e_1_3_5_7_1","first-page":"114","article-title":"Technical aspects of laparoscopic cholecystectomy in a patient with situs inversus totalis: A case report","volume":"4","author":"Batista FAR","year":"2011","unstructured":"6.Batista FAR, , Moricz AD, , Campos TD, et al. Technical aspects of laparoscopic cholecystectomy in a patient with situs inversus totalis: A case report. 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