3D-Laparoscopic Total Mesorectal Excision in a Rectal Cancer Patient with Situs Inversus Totalis: A Case Report

Zhuang WH, Ping H, Zhao JH and Zhang X-Y

Department of General Surgery, Huai’an People’s Hospital, Xuzhou Medical College, China

^*Correspondance to: Xiao-Yu Zhang 

 PDF  Full Text DOI: 10.25107/2474-1647.1070

Abstract

Situs inversus totalis (SIT) is a rare anomaly in which the abdominal and thoracic cavity structures are located opposite to their usual positions. Occasionally, patients with this condition are diagnosed with malignant tumors. We report a case of a 58-year-old woman with rectal cancer and SIT. 3D-Laparoscopic total mesorectal excision (TME) was performed successfully in a rectal cancer patient by careful consideration of the mirror-image anatomy. The operation required 150 min, and no intraoperative complications occurred. The final pathology showed a 5.0cm2×4.5cm2 adenocarcinoma with whole layer invasion. Sixteen lymph nodes were examined, and 7 regional lymph nodes metastasis (pT4aN2a, LN7/16), according to the American Joint Committee on Cancer 7th edition staging guidelines. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. We believe that this is the first case of 3D-Laparoscopic TME reported in a SIT patient with rectal cancer.

Keywords

Situs inversus totalis; 3D-laparoscopic; Total mesorectal excision; Rectal cancer

Cite the article

Zhuang WH, Ping H, Zhao JH, Zhang X-Y. 3D-Laparoscopic Total Mesorectal Excision in a Rectal Cancer Patient with Situs Inversus Totalis: A Case Report. Clin Surg. 2016; 1: 1070.