title: Single-incision laparoscopic surgery for colon cancer in patient with situs inversus totalis: report of a case.
abstract: A preliminary experience with single-incision laparoscopic colectomy for colon cancer with situs inversus totalis (SIT) is reported. An 87-year-old man was admitted because of a fecal occult blood. A colonoscopy revealed cecal cancer. An air-barium and a computed tomography contrast enema showed the right-sided descending colon and the left-sided ascending colon and cecum. The surgical procedures were as follows: First, a Lap protector was inserted through a 2.5-cm transumbilical incision. Three 5-mm ports were placed in the Lap protector. We successfully performed ileocolectomy with lymph node dissection by using a single-incision laparoscopic approach without any technical problems. The operative time was 125 min, and blood loss was negligible. Postoperative follow-up did not reveal any umbilical wound complications and recurrences.
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Yasumitsu
authors.initials: Y
authors.lastname: Hirano
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Hattori
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Douden
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Hashizume
keywords: Colon cancer; Laparoscopic colectomy; Single-incision laparoscopic surgery; Situs inversus totalis