CC BY-NC-ND 4.0 · Journal of Coloproctology 2017; 37(02): 147-151
DOI: 10.1016/j.jcol.2017.02.004
Case report

Laparoscopic hemicolectomy for a patient with situs inversus totalis and colorectal cancer

Colectomia laparóscopica para um paciente com situs inversus totalis e câncer colorretal
Maria Labalde Martínez
a   Hospital Universitario de Guadalajara, Departamento de Cirugía, Guadalajara, Spain
,
Pilar Veguillas Redondo
a   Hospital Universitario de Guadalajara, Departamento de Cirugía, Guadalajara, Spain
,
Jorge Carlin Gatica
a   Hospital Universitario de Guadalajara, Departamento de Cirugía, Guadalajara, Spain
,
Jose Manuel Ramia Angel
a   Hospital Universitario de Guadalajara, Departamento de Cirugía, Guadalajara, Spain
› Author Affiliations

Abstract

Situs inversus totalis is a congenital anatomic anomaly characterized by a complete inversion of thoracic and abdominal organs. We present a case of a 67 year-old patient diagnosed with situs inversus totals in his childhood who was referred for a two-month history of hematoquezia. Ascending colon cancer where found and he underwent a laparoscopic hemicolectomy with radical lymphadenectomy. An exhaustive preoperative study and a detailed planning of laparoscopic surgery including positions of operator and assistants and trocar sites have been performed to be aware of anatomic challenges. The operating time was 120 min and blood loss was minimal. Histologic examination showed a well-differentiated adenocarcinoma with serosal invasion and without lymph nodes metastasis (pT3N0). The patient was discharged on postoperative 6th day without complications. Laparoscopic surgery for colon cancer in patients with situs inversus totalis could be more difficult nevertheless a safe and feasible procedure should be performed successfully.

Resumo

Situs inversus totalis é uma anomalia anatómica consistindo em um investimento de órgãos abdominais. Nesse estudo, descrevemos um paciente, homem 67 anos, que foi diagnosticado com situs inversus totalis na infância. Apresentava sintomas de sangramento retal e foi diagnosticado com câncer de cólon direito e tratado cirurgicamente com receção laparoscópica. Para a realização da colectomia laparoscopica precisamos de um estudo pré-operatória completa e um plano detalhado de cirurgia com localização do trocateres e cirurgiões. A cirurgia durou 120 minutos e perde de sangue foi mínima. O resultado do exame patológico relatou adenocarcinoma (T3N0). Nosso paciente foi admitido por 7 dias e não apresentaram complicações. Para os pacientes com situs inversus totalis e câncer colorretal a receção laparoscópica pode ser mais difícil mas eficaz e segura.



Publication History

Received: 06 February 2017

Accepted: 28 February 2017

Article published online:
17 February 2021

© 2017. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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