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Laparoscopic hemicolectomy in a patient with situs inversus totalis after open distal gastrectomy
Yasuo Sumi1, Ayako Tomono, Satoshi Suzuki
1Yasuo Sumi, Ayako Tomono, Satoshi Suzuki, Daisuke Kuroda, Yoshihiro Kakeji, Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, Kobe 6500017, Japan.
Abstract:
Situs inversus totalis (SIT) is a rare anomaly in which the abdominal and thoracic cavity structures are opposite their usual positions. Occasionally, a few patients with a combination of this condition and malignant tumors have been encountered. Recently, several laparoscopic operations have been reported in patients with SIT. We report a case of an 83-year-old man with situs inversus totalis who developed colon cancer after open distal gastrectomy. Laparoscopic hemicolectomy with radical lymphadenectomy in such a patient was successfully performed by careful consideration of the mirror-image anatomy. Techniques themselves was not different from those in ordinary cases. Thus, curative laparoscopic surgery for colon cancer in the presence of situs inversus totalis is feasible and safe.
