Conclusion and Results
SIT is a rare condition, but for symptomatic cholelithiasis in this
subset of patients, laparoscopic cholecystectomy is a rather standard
procedure. However, special care must be taken while positioning the
ports and placement of the surgeon and the assistants, due to ergonomic
and technical challenges surgeons face, especially right-handed ones. We
presented a case where a right-handed surgeon was situated in the right
side of the patient, with the assistant retracting the gallbladder while
the primary surgeon dissected. This prevented the crossing of the hands
of the surgeon. Her post-operative period was uneventful and she was
discharged on the second post-operative day. Follow up on the seventh
day showed a healthy surgical site. She was doing well at one year
follow up, with no recurrence of biliary symptoms or signs of infection.