Evidence map›Paper›PMID 42745708›Full record

ArticleJournal of minimally invasive surgery2026

Optimizing ergonomics during laparoscopic cholecystectomy in situs inversus abdominis with levocardia: a technical note.

Vikram Saini, Parshant Kumar, Saikumar Kumbar, Sourabh Meena, Tulsi Ratilal Patodia

Abstract read
In one paragraph

Article in Journal of minimally invasive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Vikram SainiDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Bathinda, India.ORCID https://orcid.org/0000-0002-5061-0902
Parshant KumarDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Bathinda, India.ORCID https://orcid.org/0009-0007-9113-8695
Saikumar KumbarDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Bathinda, India.ORCID https://orcid.org/0009-0003-8547-7958
Sourabh MeenaDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Bathinda, India.ORCID https://orcid.org/0009-0008-9030-517X
Tulsi Ratilal PatodiaDepartment of Surgical Disciplines, All India Institute of Medical Sciences, Bathinda, India.ORCID https://orcid.org/0009-0001-7824-7674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic cholecystectomy in patients with situs inversus abdominis with levocardia is technically challenging because of mirror-image anatomy and unfamiliar ergonomics. We describe technical modifications for safe laparoscopic cholecystectomy in a 38-year-old woman with symptomatic cholelithiasis. Preoperative imaging confirmed left-sided positioning of the liver and gallbladder with a normally positioned heart. A modified four-port configuration with mirrored subcostal ports was used, with the surgeon positioned on the patient's right side. Hartmann's pouch was retracted with the dominant right hand, while Calot's triangle was dissected through the epigastric port with the left hand. After adhesiolysis, an anomalous cystic artery located to the right of the cystic duct was identified. The critical view of safety was achieved before division of the cystic structures. The procedure was completed without complications, and the patient was discharged on postoperative day 1. Individualized port placement and surgeon positioning may facilitate safe surgery in patients with situs anomalies.

Indexed as

AnatomyCholelithiasisErgonomicsLaparoscopic cholecystectomySitus inversus

Identifiers

PMID42745708
PMCPMC13583500

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.