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Laparoscopic hemicolectomy in a patient with situs inversus totalis

Yushi Fujiwara, Yosuke Fukunaga, Masayuki Higashino, Shinya Tanimura, Masashi Takemura, Yoshinori Tanaka, Harushi Osugi
World Journal of Gastroenterology: WJG 2007 October 7, 13 (37): 5035-7
17854150
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.

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