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Case Reports
. 2018 May;10(5):E383-E386.
doi: 10.21037/jtd.2018.04.97.

Situs inversus uniportal video-assisted thoracoscopic right anatomic segmentectomy S1-S2 and S6

Diego Gonzalez-Rivas  1   2 , Kostis Soultanis  2 , Hui Zheng  2 , Yuming Zhu  2
Affiliations
Case Reports

Situs inversus uniportal video-assisted thoracoscopic right anatomic segmentectomy S1-S2 and S6

Diego Gonzalez-Rivas et al. J Thorac Dis. 2018 May.

Abstract

Situs inversus totalis (SIT) is an extremely rare condition where the major organs are reversed or mirrored from their usual positions. There are few reports in the literature describing thoracoscopic major surgery in patients with this unusual anomaly. Here we report a 48-year old female with two small early stage lung cancer lesions located in the apicoposterior segment of the right upper lobe and in the dorsal segment of the right lower lobe. The patient underwent a uniportal approach through a 3 cm incision and combined anatomic segmentectomies in the upper and lower lobes. The postoperative course was uneventful. This is the first report of an anatomic segmentectomy in a patient with a situs inversus condition.

Keywords: Situs inversus; anatomic segmentectomy; lung cancer; single port segmentectomy; uniportal video-assisted thoracoscopic surgery (uniportal VATS).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
CT scan showing a 0.8 cm GGO tumor located in dorsal segment of right lower lobe (A) and another 1 cm GGO tumor located in the intersegmental plane of apical and posterior segment of right upper lobe (B). GGO, ground glass opacity.
Figure 2
Figure 2
Uniportal VATS right anatomic segmentectomy S6 and S1-S2 (3). VATS, video-assisted thoracoscopic surgery. Available online: http://www.asvide.com/article/view/24999
Figure 3
Figure 3
Thoracoscopic image of surgical dissection of V6 during dorsal segmentectomy (A) and apicoposterior bronchus during S1-S2 (B).
See this image and copyright information in PMC

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References

    1. Subotich D, Mandarich D, Katchar V, Bulajich B, Drndarski B. Lung resection for primary bronchial carcinoma in a patient with complete situs inversus. Clin Anat 2006;19:358-62. 10.1002/ca.20125 - DOI - PubMed
    1. Teixeira J, Vaz A, Costa N. Bronchiectasis associated with total situs inversus and sinusitis: the Kartagener triad; case treated by lobectomy; review of literature. Rev Bras Cir 1952;23:431-42. - PubMed
    1. Gonzalez-Rivas D, Soultanis K, Zheng H, et al. Uniportal VATS right anatomic segmentectomy S6 and S1-S2. Asvide 2018;5:527. Available online: http://www.asvide.com/article/view/24999 - PMC - PubMed
    1. Tacchino R, Greco F, Matera D. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc 2009;23:896-9. 10.1007/s00464-008-0147-y - DOI - PubMed
    1. Kim HJ, Choi GS, Park JS, et al. Laparoscopic right hemicolectomy with D3 lymph node dissection for a patient with situs inversus totalis: report of a case. Surg Today 2011;41:1538-42. 10.1007/s00595-010-4530-7 - DOI - PubMed

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