McDermott J P, Caushaj P F
Department of Surgery, University of Massachusetts Medical School, Worcester 01605-2982.
Surg Endosc. 1994 Oct;8(10):1227-9. doi: 10.1007/BF00591057.
A case report of the successful management of a patient with situs inversus viscerum and symptomatic choledocholithiasis and cholangitis is presented. The preoperative evaluation of the choledochus via ERCP and successful common bile duct stone extraction enabled successful laparoscopic cholecystectomy. The anatomic challenge of situs inversus viscerum mandates the selective use of intraoperative cholangiography during and upon completion of the laparoscopic cholecystectomy.
本文报告一例内脏反位合并症状性胆总管结石及胆管炎患者的成功治疗病例。通过内镜逆行胰胆管造影（ERCP）对胆总管进行术前评估并成功取出胆总管结石，从而得以成功实施腹腔镜胆囊切除术。内脏反位带来的解剖学挑战要求在腹腔镜胆囊切除术期间及完成后选择性使用术中胆管造影。
