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.