title: Laparoscopic right hemicolectomy with D3 lymph node dissection for a patient with situs inversus totalis: report of a case.
abstract: Situs inversus totalis (SIT) is a rare congenital anomaly characterized by an inversion of the thoracic and abdominal viscera that creates a mirror image. The transposition of the organs imposes special demands on the diagnostic and technical skills of the surgeon, especially when performing laparoscopic surgery. We herein report the case of a 63-year-old man with colon cancer of the hepatic flexure who received a laparoscopic right hemicolectomy. Careful recognition by the surgeon of the mirror image anatomy and skillful use of his left hand resulted in a successful outcome. The surgery was not otherwise different from ordinary cases. Therefore, laparoscopic colectomy is considered to be a safe and feasible option for patients with colorectal cancer and SIT.
authors.affiliation: Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, 50 Samduck-dong 2ga Jung-gu, Daegu, 700-721, Republic of Korea.
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Kim
authors.forename: Gyu-Seog
authors.initials: GS
authors.lastname: Choi
authors.forename: Jun Seok
authors.initials: JS
authors.lastname: Park
authors.forename: Kyoung Hoon
authors.initials: KH
authors.lastname: Lim
authors.forename: You Seok
authors.initials: YS
authors.lastname: Jang
authors.forename: Soo Yeun
authors.initials: SY
authors.lastname: Park
authors.forename: Soo Han
authors.initials: SH
authors.lastname: Jun
mesh_terms: D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D012857:Situs Inversus / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome