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Updated: Jul 11, 2026
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Laparoscopic hemicolectomy in a patient with situs inversus totalis
Yushi Fujiwara1, Yosuke Fukunaga, Masayuki Higashino
1Department 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
Abstract:
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.
