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Laparoscopic cholecystectomy in a case of situs inversus totalis
Azhar Alam,Abhijit Santra 한국간담췌외과학회 2017 Annals of hepato-biliary-pancreatic surgery Vol.21 No.2
Situs inversus totalis is a rare congenital condition, characterized by the transposition of the thoracic and abdominal viscera, resulting in a mirror image of normal anatomy. Even though situs inversus does not predispose to gall stones, a laparoscopic cholecystectomy, in a case of situs inversus, can prove to be a technically challenging procedure, especially for the right-handed surgeon. In this case report, we present an unusual case of cholelithiasis in a patient with situs inversus totalis. A laparoscopic cholecystectomy, which is considered the gold standard procedure for symptomatic gallstones, was performed. The technical challenges that were anticipated due to anatomical anomalies were managed by various preoperative and intraoperative modifications. Through this present case report, we concluded that a laparoscopic cholecystectomy is a feasible and safe procedure in patients with situs inversus totalis and can be precisely performed by a right-handed surgeon, with necessary adaptations.
Sanath Krishna Muliya,Anukul Nath,Gandla Chethan Kumar,Avinash Visvanathan,Melvin Selvan,Raghuram Gowda,Vishal Santra,Abhijit Das 국립중앙과학관 2021 Journal of Asia-Pacific Biodiversity Vol.14 No.2
Delineating species distribution comprising information on habitat suitability is vital for developingconservation strategies. Like many other snake species, Lycodon flavicollis is a poorly studied peninsularIndian endemic species known only from few locality records. We used MaxEnt following the smallsampling approach to determine the probable distribution of the species. We found that the majority ofthe predicted area falls under Deccan Peninsular (Central Plateau and Deccan South) region of Indiafollowed by parts of Western Ghats. Isothermality and mean temperature of wettest quarter hadconsiderable influence on the predicted distribution range of the species. The findings of the presentwork show that our modelling approach may help in identifying new areas where this species may occur. We discussed the usefulness of this approach in determining potential distribution of data deficientspecies such as L. flavicollis. Additionally, we have also provided significant information on morphologyand natural history to enrich our current knowledge on the species.