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. 2015 Apr;77(Suppl 1):147-9.
doi: 10.1007/s12262-015-1209-8. Epub 2015 Jan 20.

Laparoscopic transperitoneoscopic nephroureterectomy in a patient with situs inversus totalis

Kaan Gökçen  1 , Hüseyin Çelik  2 , Murat Kobaner  1 , Sinan Karazindiyanoğlu  1
Affiliations

Laparoscopic transperitoneoscopic nephroureterectomy in a patient with situs inversus totalis

Kaan Gökçen et al. Indian J Surg. 2015 Apr.

Abstract

This article discusses the case of a 78-year-old female with painless gross hematuria. Chest X-rays showed dextrocardia with situs inversus, and whole-body computed tomography scanning showed a renal mass in the right renal pelvis, no evidence of metastasis, and mirror-image organs with left-to-right transposition, which resulted in a diagnosis of situs inversus totalis (SIT). A laparoscopic transperitoneoscopic right nephroureterectomy was scheduled. To our knowledge, our case is the second case of laparoscopic nephroureterectomy in renal pelvic urothelial carcinoma with SIT to be presented, but it is the first case of laparoscopic transperitoneoscopic nephroureterectomy. Laparoscopic transperitoneoscopic nephroureterectomy was successfully performed in a renal pelvic urothelial carcinoma patient with SIT with a correct description of renal vascularity and abdominal anatomy.

Keywords: Laparoscopy; Nephroureterectomy; Situs inversus totalis; Urotelial cancer.

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Figures

Fig. 1
Fig. 1
a–b Computed tomography scan demonstrated a mass in the right renal pelvis. c–d 3D Reconstruction of an abdominal computed tomography angiogram showing the kidney’s arterial structure. c Anterior side. d Posterior side
Fig. 2
Fig. 2
a Renal hilum and spleen in the right side of the abdomen. b Trocar sites and Gibson incision
See this image and copyright information in PMC

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