Rib-lifting method for retraction of the low-lying costal arch in laparoscopic cholecystectomy of gallbladder torsion with kyphoscoliosis.

Gallbladder torsion is a rare entity. Recently, laparoscopic cholecystectomy has become accepted as a standard operation for gallbladder torsion. Unfortunately, kyphoscoliosis is a risk factor of gallbladder torsion, and kyphoscoliosis results in a low-lying costal arch and disturbs the laparoscopic view. The present paper reports a new surgical procedure, a "rib-lifting method" for retracting the low-lying costal arch at laparoscopic cholecystectomy of gallbladder torsion with kyphoscoliosis.