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Laparoscopic resection for rectal cancer and cholecystectomy for patient with situs inversus totalis.

Fang JF, Zheng ZH, Wei B, Chen TF, Lei PR, Huang JL, Huang LJ, Wei HB - J Minim Access Surg (2015 Jul-Sep)

Bottom Line: Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera.She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation.One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.

ABSTRACT
Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera. Laparoscopic surgery for either rectal cancer or gallbladder diseases with SIT is rarely reported in the literature. A 39-year-old woman was admitted to hospital owing to rectal cancer. She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation. We performed laparoscopic resection for rectal cancer successfully in spite of technical difficulties caused by abnormal anatomy. One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully. With this case, we believe that performance by an experienced laparoscopic surgeon, either laparoscopic resection for rectal cancer or cholecystectomy with SIT is safe and feasible.

No MeSH data available.


Related in: MedlinePlus

Ligation of cystic duct and artery.
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Figure 3: Ligation of cystic duct and artery.

Mentions: The operation was performed under general anesthesia. The right-handed surgeon and camera surgeon were positioned on the right side of the patient, while the assistant surgeon was on the left. A 10-mm port below the umbilicus for a 30° telescope was first inserted. Another 10-mm (medial epigastric) and two 5-mm ports (midclavicular and anterior axillary line on the left) were inserted, respectively. Laparoscopic exploration showed gall bladder located in the left upper abdomen. The Calot's triangle was dissected carefully, and then the cystic duct and artery were ligated with polymer clips gradually [Figure 3]. Then the gall bladder was separated from its bed and extracted in a retrieval bag through the medial epigastric port. The operative time was 55 min and blood loss was 5 mL. The postoperative hospital stay was 3 days. The pathologic examination was adenomatous polyp.


Laparoscopic resection for rectal cancer and cholecystectomy for patient with situs inversus totalis.

Fang JF, Zheng ZH, Wei B, Chen TF, Lei PR, Huang JL, Huang LJ, Wei HB - J Minim Access Surg (2015 Jul-Sep)

Ligation of cystic duct and artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499930&req=5

Figure 3: Ligation of cystic duct and artery.
Mentions: The operation was performed under general anesthesia. The right-handed surgeon and camera surgeon were positioned on the right side of the patient, while the assistant surgeon was on the left. A 10-mm port below the umbilicus for a 30° telescope was first inserted. Another 10-mm (medial epigastric) and two 5-mm ports (midclavicular and anterior axillary line on the left) were inserted, respectively. Laparoscopic exploration showed gall bladder located in the left upper abdomen. The Calot's triangle was dissected carefully, and then the cystic duct and artery were ligated with polymer clips gradually [Figure 3]. Then the gall bladder was separated from its bed and extracted in a retrieval bag through the medial epigastric port. The operative time was 55 min and blood loss was 5 mL. The postoperative hospital stay was 3 days. The pathologic examination was adenomatous polyp.

Bottom Line: Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera.She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation.One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.

ABSTRACT
Situs inversus totalis (SIT) is a rare congenital anomaly presenting with complete transposition of thoracic and abdominal viscera. Laparoscopic surgery for either rectal cancer or gallbladder diseases with SIT is rarely reported in the literature. A 39-year-old woman was admitted to hospital owing to rectal cancer. She was diagnosed with SIT by performing radiography and abdominal computed tomography scan as a routine preoperative investigation. We performed laparoscopic resection for rectal cancer successfully in spite of technical difficulties caused by abnormal anatomy. One year later, she was diagnosed with cholecysticpolyp, and we performed laparoscopic cholecystectomy for her uneventfully. With this case, we believe that performance by an experienced laparoscopic surgeon, either laparoscopic resection for rectal cancer or cholecystectomy with SIT is safe and feasible.

No MeSH data available.


Related in: MedlinePlus