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

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Abstract

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 left-sided 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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Authors and Affiliations

  1. Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526, Japan

    Yasumitsu Hirano, Masakazu Hattori, Kenji Douden & Yasuo Hashizume

Authors
  1. Yasumitsu Hirano
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  2. Masakazu Hattori
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  3. Kenji Douden
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  4. Yasuo Hashizume
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Correspondence to Yasumitsu Hirano.

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Hirano, Y., Hattori, M., Douden, K. et al. Single-Incision Laparoscopic Surgery for Colon Cancer in Patient with Situs Inversus Totalis: Report of a Case. Indian J Surg 77 (Suppl 1), 26–28 (2015). https://doi.org/10.1007/s12262-014-1075-9

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  • DOI: https://doi.org/10.1007/s12262-014-1075-9

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