A Case of Laparoscopic Surgery for Sigmoid Colon Cancer with Situs Inversus Totalis

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  • ITO Daisuke
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • NOMA Atsushi
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • YASUCHIKA Kentaro
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • YAMASHITA Yoshito
    Department of Surgery, Japanese Red Cross Wakayama Medical Center
  • UYAMA Shiro
    Department of Surgery, Japanese Red Cross Wakayama Medical Center

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  • 腹腔鏡下手術を行った完全内臓逆位症併存S状結腸癌の1例
  • 症例 腹腔鏡下手術を行った完全内臓逆位症併存S状結腸癌の1例
  • ショウレイ フククウキョウ シタテジュツ オ オコナッタ カンゼン ナイゾウ ギャクイショウ ヘイソン Sジョウ ケッチョウ ガン ノ 1レイ

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Abstract

<p>An 81-year-old woman who had previously been diagnosed with situs inversus totalis was referred to our hospital for a positive fecal occult blood. She was diagnosed with sigmoid colon cancer by total colonoscopy. Chest x-ray and chest and abdominal computed tomography (CT) showed situs inversus totalis. We performed laparoscopic sigmoidectomy. No bowel malrotation or vascular malformations were observed.</p><p>She was discharged from the hospital seven days after the surgery without any perioperative complications. The tumor was histopathologically diagnosed as pT2, N0, M0, stage I. Although attention to intraoperative disorientation is necessary for surgery in situs inversus totalis, laparoscopic surgery can be performed safely with enough recognition of the anatomical position using a left-right mirror image.</p>

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