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Robotic hemi-colectomy for ascending colon cancer in a patient with situs inversus totalis
Junki Kato1, Takahisa Hirokawa2, Kenji Kobayashi1
1Division of Gastroenterological Surgery, Kariya Toyota General Hospital, 5-15 Sumiyoshi-Cho, Kariya, Aichi, 448-8505, Japan.
Background:
Situs inversus totalis (SIT) is a rare congenital anomaly in which the thoracic and abdominal cavity structures are completely opposite to normal. Performing robot-assisted surgery in these patients is difficult because of these anomalies. A few reports have described robot-assisted surgery for rectal cancer in patients with SIT, but no reports to date have described robot-assisted surgery for colon cancer.
Case Presentation:
A 74-year-old female presented with abdominal pain and was diagnosed with ascending colon cancer and SIT. We carefully planned the surgical procedure and performed robot-assisted hemi-colectomy. Although we used unusual port placement, the operation was performed safely. The patient was discharged without any complications.
Conclusions:
Robot-assisted surgery is safe and efficient for patients with anatomical anomalies.
