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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Oct 7, 2007; 13(37): 5035-5037
Published online Oct 7, 2007. doi: 10.3748/wjg.v13.i37.5035
Published online Oct 7, 2007. doi: 10.3748/wjg.v13.i37.5035
Laparoscopic hemicolectomy in a patient with situs inversus totalis
Yushi Fujiwara, Yosuke Fukunaga, Masayuki Higashino, Shinya Tanimura, Masashi Takemura, Yoshinori Tanaka, Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22, Miyakojima-Hondoori, Miyakojima-ku, Osaka 534-0021, Japan
Harushi Osugi, Department of Gastroenterological Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Yushi Fujiwara, Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22, Miyakojima-Hondoori, Miyakojima-ku, Osaka 534-0021, Japan. fujiwaray@msic.med.osaka-cu.ac.jp
Telephone: +81-6-69291221 Fax: +81-6-69290886
Received: June 14, 2007
Revised: August 4, 2007
Accepted: August 10, 2007
Published online: October 7, 2007
Revised: August 4, 2007
Accepted: August 10, 2007
Published online: October 7, 2007
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.
Keywords: Situs inversus; Colon cancer; Laparoscopic surgery; Hemicolectomy; Radical lymphadenectomy