Robot-Assisted Radical Cystectomy with Intracorporeal Ileal Conduit in a Patient with Situs Inversus Totalis.

Autor:	Munshi FI; Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA., Polotti CF; Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA., Elsamra SE; Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Jazyk:	angličtina
Zdroj:	Journal of endourology case reports [J Endourol Case Rep] 2020 Sep 17; Vol. 6 (3), pp. 135-138. Date of Electronic Publication: 2020 Sep 17 (Print Publication: 2020).
DOI:	10.1089/cren.2019.0137
Abstrakt:	Background: Situs invesus totalis is a rare congenital anomaly characterized by the mirror-image transposition of abdominal and thoracic organs. Although feasible, operating on patients with situs inversus offers unique technical challenges to the surgeon because of its rarity and the contralateral disposition of the viscera. Urologists in particular need to be aware of the genitourinary abnormalities associated with situs inversus when planning to operate. Case Presentation: We report the case of a 67-year-old man with invasive bladder cancer in the presence of situs inversus totalis (SIT) and associated bilateral duplicated ureters. This is only the second case of bladder cancer in the context of situs inversus reported in the literature and the first one managed with robot-assisted radical cystectomy and urinary diversion with an intracorporeal ileal conduit. Conclusion: In this unique case, robot-assisted radical cystectomy with intracorporeal ileal conduit in a patient with muscle-invasive bladder cancer and SIT was safely performed and we suggest to others to consider our technique of "mirror-image port placement and surgical technique" if they encounter such a patient. Competing Interests: No competing financial interests exist. (Copyright 2020, Mary Ann Liebert, Inc., publishers.)
Databáze:	MEDLINE
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