Laparoscopic surgery in situs inversus: a literature review and a report of laparoscopic sigmoidectomy for diverticulitis in situs inversus

Kobus, Christian; Targarona, Eduardo M.; Bendahan, Galit Even; Alonso, Verónica; Balagué, Carmen; Vela, Sandra; Garriga, Jordi; Trías, Manuel

doi:10.1007/s00423-004-0500-0

Cited by 48 publications

(46 citation statements)

References 18 publications

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“…5 This condition may be associated with other congenital anomalies, such as biliary atresia and congenital heart disease. 2,6 But there is no evidence to suggest that these patients are predisposed to cholelithiasis. Diagnosis of gallstone disease is often delayed in patients without known history of situs inversus because of atypical location of pain.…”

Section: Discussionmentioning

confidence: 99%

“…1 Situs inversus totalis can be either alone or in combination with chronic sinusitis and bronchiectasis called as Kartagener syndrome. 2 There are very few reports of laparoscopic surgery in Kartagener syndrome because of associated respiratory disorders. 3,4 Anatomy of the abdominal organs in such a patient is distorted, making laparoscopic surgery difficult.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Cholecystectomy in Kartagener Syndrome

Gupta¹,

Singh²,

Verma³

2017

Journal of Postgraduate Medicine, Education and Research

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Kartagener syndrome is a rare autosomal recessive disorder in which there is situs inversus involving abdominal or thoracic viscera or both. Anatomy of the abdominal organs in such a patient is distorted making laparoscopic surgery very difficult. A 45-year-old lady, a known case of Kartagener syndrome, presented with epigastric pain. Ultrasound of abdomen revealed situs inversus with mild hepatomegaly and multiple gallbladder calculi. Magnetic resonance pancreatocholangiography (MRCP) confirmed situs inversus totalis with cholelithiasis and mild central intrahepatic biliary dilatation. Patient was treated successfully with laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Kartagener Syndrome

Gupta¹,

Singh²,

Verma³

2017

Journal of Postgraduate Medicine, Education and Research

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“…Laparoscopy can prove to be an even greater technical challenge. Although laparoscopic colorectal surgery has recently become a standard procedure, there are only seven reports on laparoscopic surgery in patients with SIT [2][3][4][5][6][7][8]. There are three sigmoidectomies, two hemicolectomies, one abdominoperineal resection, and one total mesenteric excision.…”

Section: Discussionmentioning

confidence: 99%

“…Accordingly, surgical procedures are considered more difficult in patients with SIT than others because of different anatomic positions of organs, especially in laparoscopic surgery. While laparoscopic colorectal surgery recently has become a standard procedure, only seven previous reports of laparoscopic surgery for colonic disease in patients with SIT are available [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Single-Incision Laparoscopic Surgery for Colon Cancer in Patient with Situs Inversus Totalis: Report of a Case

et al. 2014

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A preliminary experience with single-incision laparoscopic colectomy for colon cancer with situs inversus totalis (SIT) is reported. An 87-year-old man was admitted because of a fecal occult blood. A colonoscopy revealed cecal cancer. An air-barium and a computed tomography contrast enema showed the right-sided descending colon and the leftsided ascending colon and cecum. The surgical procedures were as follows: First, a Lap protector was inserted through a 2.5-cm transumbilical incision. Three 5-mm ports were placed in the Lap protector. We successfully performed ileocolectomy with lymph node dissection by using a single-incision laparoscopic approach without any technical problems. The operative time was 125 min, and blood loss was negligible. Postoperative follow-up did not reveal any umbilical wound complications and recurrences.

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“…births. In conjunction with chronic sinusitis and bronchiectasis, SIT is a well-known characteristic of a rare congenital disorder called Kartagener syndrome [1][2][3] . Although laparoscopic procedures in such patients have been reported, most described cases have been associated with laparoscopic cholecystectomy 4 .…”

mentioning

confidence: 99%

Totally Laparoscopic Total Gastrectomy in a Patient With Situs Inversus Totalis

Kanaji

Suzuki

Yamamoto

et al. 2016

International Surgery

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Abstract:Introduction: Situs inversus totalis (SIT) is a rare congenital anomaly in which the organs are transposed from the normal to the opposite side. Occasionally, we encounter a patient with a combination of this condition and gastric cancer. Several cases of laparoscopic distal gastrectomy for gastric cancer in such patients have been reported. However, there is no report of totally laparoscopic total gastrectomy (TLTG) for such patients. Case presentation: We present a case of advanced gastric cancer with SIT that was successfully treated by TLTG involving radical lymph node dissection. A 63-year-old woman who presented with hematemesis was admitted to our hospital. She was diagnosed with advanced gastric cancer. Endoscopic findings revealed that tumor invasion was to the depth of the muscularis propria. Computed tomography (CT) showed a lack of lymph node swelling or distant metastasis. She was also diagnosed with SIT (a characteristic of Kartagener syndrome). Total gastrectomy was deemed necessary and we planned laparoscopic surgery. We carefully analyzed the location of abdominal organs from a preoperative examination, including three-dimensional reconstruction images from CT. In this operation, we reversed the normal positions of the surgeon, assistant, nurse, and trocar sites to accomodate the inverted abdominal locations of organs. TLTG was completed safely without any postoperative complications. Conclusion: Three-dimensional reconstruction images from CT and the inverse transposition of our usual intraoperative positions led to a smooth operation. TLTG may Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporationbe not only a minimally invasive but also a useful option for gastric cancer cases exhibiting SIT. Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation

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Laparoscopic surgery in situs inversus: a literature review and a report of laparoscopic sigmoidectomy for diverticulitis in situs inversus

Abstract: The laparoscopic approach is feasible in cases of SI, although technically more complicated because of the different position of the organs and the different laparoscopic view of the anatomy.

Cited by 48 publications

References 18 publications

Laparoscopic Cholecystectomy in Kartagener Syndrome

Laparoscopic Cholecystectomy in Kartagener Syndrome

Single-Incision Laparoscopic Surgery for Colon Cancer in Patient with Situs Inversus Totalis: Report of a Case

Totally Laparoscopic Total Gastrectomy in a Patient With Situs Inversus Totalis

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