Open AccessLaparoscopic hemicolectomy in a patient with situs inversus totalis after open distal gastrectomy
Author(s) -
Yasuo Sumi,
Ayako Tomono,
Satoshi Suzuki,
Daisuke Kuroda,
Yoshihiro Kakeji
Publication year - 2013
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v5.i2.22
Subject(s) - situs inversus , medicine , surgery , lymphadenectomy , laparoscopic surgery , laparoscopy , gastrectomy , cancer , general surgery
Situs inversus totalis (SIT) is a rare anomaly in which the abdominal and thoracic cavity structures are opposite their usual positions. Occasionally, a few patients with a combination of this condition and malignant tumors have been encountered. Recently, several laparoscopic operations have been reported in patients with SIT. We report a case of an 83-year-old man with situs inversus totalis who developed colon cancer after open distal gastrectomy. Laparoscopic hemicolectomy with radical lymphadenectomy in such a patient was successfully performed by careful consideration of the mirror-image anatomy. Techniques themselves was not different from those in ordinary cases. Thus, curative laparoscopic surgery for colon cancer in the presence of situs inversus totalis is feasible and safe.