Laparoscopic total mesorectal excision in a rectal cancer patient with situs inversus totalis.
Situs inversus totalis is a rare anomaly in which the abdominal and thoracic cavity structures are opposite their usual positions. A 41-yr-old woman, who had an ulcerating cancer on the rectum, was found as a case of situs inversus totalis. We present an overview of the operative technique for the first documented laparoscopic total mesorectal excision of a rectal cancer in the patient with situs inversus totalis. Careful consideration of the mirror-image anatomy permitted a safe operation using techniques not otherwise different from those used for the general population. Therefore, curative laparoscopic surgery for rectal cancer in this patient is feasible and safe.
Huh
Jung Wook
JW
Department of Surgery, Chonnam National University Hwasun Hospital and Medical School, Gwangju, Korea.
Kim
Hyeong Rok
HR
Cho
Sang Hyuk
SH
Kim
Choong Young
CY
Kim
Hoon Jin
HJ
Joo
Jae Kyoon
JK
Kim
Young Jin
YJ
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008646:Mesocolon / Q000601:surgery*; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012857:Situs Inversus / Q000150:complications* / Q000601:surgery*