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Surg Today. 2011 Nov;41(11):1538-42. doi: 10.1007/s00595-010-4530-7. Epub 2011 Oct 4.

Laparoscopic right hemicolectomy with D3 lymph node dissection for a patient with situs inversus totalis: report of a case.

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Department of Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, 50 Samduck-dong 2ga Jung-gu, Daegu, 700-721, Republic of Korea.


Situs inversus totalis (SIT) is a rare congenital anomaly characterized by an inversion of the thoracic and abdominal viscera that creates a mirror image. The transposition of the organs imposes special demands on the diagnostic and technical skills of the surgeon, especially when performing laparoscopic surgery. We herein report the case of a 63-year-old man with colon cancer of the hepatic flexure who received a laparoscopic right hemicolectomy. Careful recognition by the surgeon of the mirror image anatomy and skillful use of his left hand resulted in a successful outcome. The surgery was not otherwise different from ordinary cases. Therefore, laparoscopic colectomy is considered to be a safe and feasible option for patients with colorectal cancer and SIT.

[Indexed for MEDLINE]

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