Laparoscopic Total Mesorectal Excision in a Rectal Cancer Patient with Situs Inversus Totalis.
10.3346/jkms.2010.25.5.790
- Author:
Jung Wook HUH
1
;
Hyeong Rok KIM
;
Sang Hyuk CHO
;
Choong Young KIM
;
Hoon Jin KIM
;
Jae Kyoon JOO
;
Young Jin KIM
Author Information
1. Department of Surgery, Chonnam National University Hwasun Hospital and Medical School, Gwangju, Korea. drkhr@chonnam.ac.kr
- Publication Type:Case Reports
- Keywords:
Situs Inversus;
Rectal Neoplasms;
Laparoscopy
- MeSH:
Adult;
Female;
Humans;
Laparoscopy/*methods;
Mesocolon/*surgery;
Rectal Neoplasms/diagnosis/*surgery;
Rectum/*surgery;
Situs Inversus/*complications/*surgery
- From:Journal of Korean Medical Science
2010;25(5):790-793
- CountryRepublic of Korea
- Language:English
-
Abstract:
Situs inversus totalis is a rare anomaly in which the abdominal and thoracic cavity structures are opposite their usual positions. A 41-yr-old woman, who had an ulcerating cancer on the rectum, was found as a case of situs inversus totalis. We present an overview of the operative technique for the first documented laparoscopic total mesorectal excision of a rectal cancer in the patient with situs inversus totalis. Careful consideration of the mirror-image anatomy permitted a safe operation using techniques not otherwise different from those used for the general population. Therefore, curative laparoscopic surgery for rectal cancer in this patient is feasible and safe.