Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	119179
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Posterior approach to Calot’s triangle in situs inversus totalis: A case report and review of literature
Manuscript Source	Unsolicited Manuscript
All Author List	Mao-Lin Chen, Xiao Ma, Le Xiao, Tian-Tian Chen, Zhu-Lin Luo and Xiao-Dong Xie
Funding Agency and Grant Number
Corresponding Author	Xiao-Dong Xie, PhD, Professor, Department of General Surgery, The General Hospital of Western Theater Command, No. 270 Rongdu Road, Jinniu District, Chengdu 610083, Sichuan Province, China. xiexiaodong10@yeah.net
Key Words	Situs inversus totalis; Laparoscopic cholecystectomy; Mirror-image anatomy; Posterior approach to Calot’s triangle; Case report
Core Tip	Mirror-image anatomy in situs inversus totalis can increase ergonomic and cognitive demands during laparoscopic cholecystectomy, particularly when Calot’s triangle dissection is challenging. We describe a posterior approach to Calot’s triangle as a stepwise access strategy in which a posterior window is developed and dissection proceeds in a posterior-to-anterior direction to facilitate sequential anatomic confirmation. This pathway may help limit instrument crossing and reduce the need for repeated reorientation in situs inversus totalis cases while maintaining adherence to the critical view of safety principles.
Citation	Chen ML, Ma X, Xiao L, Chen TT, Luo ZL, Xie XD. Posterior approach to Calot’s triangle in situs inversus totalis: A case report and review of literature. World J Gastrointest Surg 2026; In press

Received	2026-01-22 06:25
Peer-Review Started	2026-01-22 06:26
First Decision by Editorial Office Director	2026-02-03 11:04
Return for Revision	2026-02-03 14:57
Revised	2026-02-17 14:05
Publication Fee Transferred	2026-02-21 10:16
Second Decision by Editor	2026-03-23 02:49
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-23 09:37
Articles in Press	2026-03-23 09:37
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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