Total Laparoscopic Donor Nephrectomy In Situs Inversus Totalis: A Case Report

Abstract

Situs inversus totalis is a rare anomaly characterized by the total inversion of all abdominal and thoracic organs. For the first time, we report a case of a donor nephrectomy in a patient with situs inversus totalis, completed with a full laparoscopic approach. At the time of this writing, the donor and the recipient are doing well after 6 month's follow-up. Our experience shows that patients with situs inversus totalis may be eligible candidates for laparoscopic donor nephrectomy, provided that detailed preoperative imaging studies as well as precise preoperative planning are performed before the transplant.

Renal Cell Carcinoma in A Patient with Kartagener Syndrome: First Case Report in English Language

“…A right renal mass was incidentally found upon imaging. There are only three case reports of renal cell carcinoma concominant with situs inversus in literatüre (4,9,10). Our case is the first one in English language.…”

Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

“…Most of the authors failed to indicate the duration of the donor and recipient follow-up period, except for two authors who reported follow-up periods of 6 and 12 months, respectively 31,32 . It may be observed that greater experience of surgeons leads to higher number of laparoscopic donor nephrectomies 29,31,32 . We reported a case of successful predialysis kidney transplantation from a donor with SIT without major associated blood vessel anomalies or associated syndromes appearing in 20-25% of SIT cases 8,33 .…”

“…Surgical approach may include open nephrectomy, hand-assisted laparoscopic donor nephrectomy and laparoscopic nephrectomy [29][30][31][32] . Most of the authors failed to indicate the duration of the donor and recipient follow-up period, except for two authors who reported follow-up periods of 6 and 12 months, respectively 31,32 . It may be observed that greater experience of surgeons leads to higher number of laparoscopic donor nephrectomies 29,31,32 .…”

Laparoscopic Transperitoneoscopic Nephroureterectomy in a Patient with Situs Inversus Totalis

“…There are some articles about laparoscopic donor nephrectomies with SIT [5,6]. The articles reported that SIT is not a barrier in performing these surgeries.…”