Laparoscopic hemicolectomy in a patient with situs inversus totalis.
As among persons with normal anatomy, occasional patients with situs inversus develop malignant tumors. Recently, several laparoscopic operations have been reported in patients with situs inversus. We describe laparoscopic hemicolectomy with radical lymphadenectomy in such a patient. Careful consideration of the mirror-image anatomy permitted safe operation using techniques not otherwise differing from those in ordinary cases. Thus, curative laparoscopic surgery for colon cancer in the presence of situs inversus is feasible and safe.
Fujiwara
Yushi
Y
Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22, Miyakojima-Hondoori, Miyakojima-ku, Osaka 534-0021, Japan. fujiwaray@msic.med.osaka-cu.ac.jp
Fukunaga
Yosuke
Y
Higashino
Masayuki
M
Tanimura
Shinya
S
Takemura
Masashi
M
Tanaka
Yoshinori
Y
Osugi
Harushi
H
D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications / Q000175:diagnosis / Q000601:surgery*