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Case Reports
. 2007 Oct 7;13(37):5035-7.
doi: 10.3748/wjg.v13.i37.5035.

Laparoscopic hemicolectomy in a patient with situs inversus totalis

Yushi Fujiwara  1 , Yosuke Fukunaga, Masayuki Higashino, Shinya Tanimura, Masashi Takemura, Yoshinori Tanaka, Harushi Osugi
Affiliations
Case Reports

Laparoscopic hemicolectomy in a patient with situs inversus totalis

Yushi Fujiwara et al. World J Gastroenterol. .

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.

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Figures

Figure 1
Figure 1
A chest radiograph showing dextrocardia and a right subphrenic gastric bubble.
Figure 2
Figure 2
Computed tomography disclosing complete transposition of abdominal viscera.
Figure 3
Figure 3
Initial laparoscopic vascular procedures identifying the ileocolic artery and dividing it at its root (arrow) (A) and ileocolic vein after exposure of the superior mesenteric vein (arrow) (B).
Figure 4
Figure 4
Radical lymphadenectomy along the superior mesenteric artery.
Figure 5
Figure 5
Division of the left branch of the middle colic artery.
Figure 6
Figure 6
Full mobilization of the ascending colon including the tumor.
See this image and copyright information in PMC

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