Laparoscopic sigmoidectomy with splenic flexure mobilization for colon cancer in situs inversus totalis: Preoperative assessment and preparation

Author(s):  
Takuya Kudo ◽  
Takeru Matsuda ◽  
Naoki Urakawa ◽  
Hiroshi Hasegawa ◽  
Shingo Kanaji ◽  
...  
2018 ◽  
Vol 12 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Takashi Takeda ◽  
Naotsugu Haraguchi ◽  
Ayumi Yamaguchi ◽  
Mamoru Uemura ◽  
Masakazu Miyake ◽  
...  

2015 ◽  
Vol 76 (11) ◽  
pp. 2749-2753
Author(s):  
Yoshihiro MIYAGI ◽  
Ayano TSUTSUMI ◽  
Shingo TSUTSUMI ◽  
Michinaru AKAMATSU ◽  
Takao HIGA ◽  
...  

2018 ◽  
Vol 34 (6) ◽  
pp. 322-325 ◽  
Author(s):  
Seung-Seop Yeom ◽  
Kyung Hwan Kim ◽  
Soo Young Lee ◽  
Chang Hyun Kim ◽  
Hyeong Rok Kim ◽  
...  

Author(s):  
Kiyohito IWAMATSU ◽  
Hirofumi TSUTSUMI ◽  
Naoki HASHIMOTO ◽  
Hiroshi TSUKAGOSHI ◽  
Yutaka SUNOSE ◽  
...  

Surgery Today ◽  
2003 ◽  
Vol 33 (9) ◽  
pp. 702-706 ◽  
Author(s):  
Takanori Goi ◽  
Motomi Kawasaki ◽  
Takahiro Yamazaki ◽  
Kenji Koneri ◽  
Kanji Katayama ◽  
...  

2015 ◽  
Vol 100 (4) ◽  
pp. 638-642 ◽  
Author(s):  
Mizunori Yaegashi ◽  
Toshimoto Kimura ◽  
Takashi Sakamoto ◽  
Tadao Sato ◽  
Yuichiro Kawasaki ◽  
...  

Situs inversus totalis (SIT) is a rare congenital condition in which the abdominal and thoracic organs are on the opposite sides to their normal anatomic positions. Reports of laparoscopic surgery for colorectal cancer with SIT are very few. Due to the mirror-image transposition of organs and vascular abnormalities, laparoscopic surgery for patients with SIT is technically complicated. Therefore, it has been reported as easier for left-handed surgeons. This report presents that operative procedures can be conducted as usual by changing the positions of the operator and assistants, even if the operator is right-handed. A 71-year-old woman visited our hospital with a 2-month history of hematochezia. Colonoscopy revealed an ulcerative tumor in the sigmoid colon and biopsy confirmed well-differentiated adenocarcinoma. Laparoscopic sigmoidectomy radical lymphadenectomy was performed. The operating time was 189 minutes and blood loss was 13 mL. The patient was discharged on postoperative day 7, without any complications. We report that complicated surgical procedures for patients with SIT can be simplified by changing viewpoints. Due to the altered anatomy in SIT, the positions of the operator and assistants are very important. Location of the pelvis is almost the same as in orthotopic patients, by moving the operator from the left side to the right side of the patient. Changing the position of the operator to the right side seems to be effective for patients with SIT during pelvic procedures.


2020 ◽  
Vol 81 (10) ◽  
pp. 2077-2082
Author(s):  
Daisuke ITO ◽  
Atsushi NOMA ◽  
Kentaro YASUCHIKA ◽  
Yoshito YAMASHITA ◽  
Shiro UYAMA

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