Laparoscopic total mesorectal excision in a rectal cancer patient with situs inversus totalis

Jung Wook Huh, Hyeong Rok Kim, Sang Hyuk Cho, Choong Young Kim, Hoon Jin Kim, Jae Kyoon Joo, Young Jin Kim
Journal of Korean Medical Science 2010, 25 (5): 790-3
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.


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