Reduced-Port Laparoscopic Surgery for Patients With Proximal Transverse Colon Cancer With Situs Inversus Totalis: A Case Report
Annals of Coloproctology 2018³â 34±Ç 6È£ p.322 ~ p.325
(Yeom Seung-Seop) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
±è°æȯ(Kim Kyung-Hwan) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
À̼ö¿µ(Lee Soo-Young) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
±èâÇö(Kim Chang-Hyun) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
±èÇü·Ï(Kim Hyeong-Rok) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
±è¿µÁø(Kim Young-Jin) - Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Surgery
Abstract
Situs inversus is a rare hereditary disorder in which various anomalies have been reported with internal rotation abnormalities. This case involved an 85-year-old woman who had been diagnosed with transverse colon cancer and who underwent reduced-port laparoscopic surgery. All intra-abdominal organs were reversed left to right and right to left. The aberrant midcolic artery was identified during surgery. The total surgery time was 170 minutes, and the patient lost 20 mL of blood. The patient was discharged on the 8th postoperative day without complications.
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Situs inversus, Colonic neoplasms, Reduced port laparoscopic surgery
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RPLS was a safe and feasible option for this patient with the rare congenital condition SIT and RPLS should only be performed on such patients after proper preoperative evaluation to identify combined abnormalities.