<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202024000300033</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2024.diciembre.33</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomia videolaparoscópica post coledocolitiasis resuelta por CPRE en paciente con situs inversus totalis: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Videolaparoscopic cholecystectomy after choledocholithiasis resolved by ERCP in a patient with situs inversus totalis: case report Colecistectomia videolaparoscópica post coledocolitiasis resuelta por CPRE en paciente con situs inversus totalis: reporte de un caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Primera Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>33</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202024000300033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202024000300033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202024000300033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El situs inversus totalis es una anomalía congénita rara caracterizada por una inversión de la disposición de órganos torácicos y abdominales. Aunque muchos pacientes son asintomáticos, pueden desarrollar patologías de resolución quirúrgica como la colecistitis. Este caso describe a una paciente con litiasis vesicular sintomática, sometida a colecistectomía laparoscópica. Se resaltan desafíos anatómicos, técnicas quirúrgicas y estrategias para evitar complicaciones. La identificación precisa de estructuras y una planificación preoperatoria cuidadosa fueron clave para el éxito del procedimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Situs inversus totalis is a rare congenital anomaly characterized by an inversion of the arrangement of thoracic and abdominal organs. Although many patients are asymptomatic, they can develop surgically treatable conditions such as cholecystitis. This case describes a patient with symptomatic gallstone disease who underwent laparoscopic cholecystectomy. Anatomical challenges, surgical techniques, and strategies to prevent complications are highlighted. Accurate identification of structures and meticulous preoperative planning were key to the procedure's success.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Situs inversus totalis]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[cirugía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[coledocolitiasis]]></kwd>
<kwd lng="en"><![CDATA[Situs inversus totalis]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[choledocholithiasis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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