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Updated: Feb 24, 2026
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Pure laparoscopic right hepatectomy in a patient with situs inversus totalis: A case report
Suk Kyun Hong1, Kyung-Suk Suh, Hyo-Sin Kim
1Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, Korea Department of Surgery, Chonbuk National University College of Medicine, Jeonju, Korea.
Rationale:
Hepatectomy in a patient with situs inversus totalis (SIT) is technically challenging, and pure laparoscopic major hepatectomy has not been previously described.
Patient Concerns:
A 70-year-old male with SIT was referred to our hospital for investigation and treatment of a liver mass in segment 5/6.
Diagnosis:
Computed tomography (CT) and magnetic resonance imaging (MRI) showed features of chronic liver disease and a 5-cm sized mass with a bulging contour at segment 5/6.
Interventions:
Pure laparoscopic right hepatectomy was performed.
Outcomes:
There was no intraoperative complication and the procedure was completed without a transfusion. The patient recovered well and was discharged on postoperative day 8.
Lessons:
Considering the position of the port sites and the assistant, and the operator's hand for the working port, a pure laparoscopic right hepatectomy can be a feasible procedure, even in a patient with SIT.
