Robotic‐assisted surgery for rectal cancer with situs inversus totalis: A case report

Autor:	Yusuke Kinugasa, Marie Hanaoka, Hitoshi Hino, Shunsuke Kasai, Yusuke Yamaoka, Shunichiro Kato, Shoichi Manabe, Hiroyasu Kagawa, Akio Shiomi
Rok vydání:	2021
Předmět:	medicine.medical_specialty Colorectal cancer business.industry General Medicine medicine.disease Robotic assisted surgery Resection Surgery Bloody 03 medical and health sciences Dissection Situs inversus 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Adverse effect business Lymph node
Zdroj:	Asian Journal of Endoscopic Surgery. 14:803-806
ISSN:	1758-5910 1758-5902
DOI:	10.1111/ases.12937
Popis:	We present a very rare case of rectal cancer in a patient with situs inversus totalis (SIT), which is a complete transposition of the thoracic and abdominal viscera. A woman in her 60s visited a local hospital reporting bloody stool and was diagnosed with upper rectal cancer and SIT. We made careful preoperative preparations for the congenital anomaly, and robotic-assisted high anterior resection with D3 lymph node dissection was performed. Although we adopted an unusual six-port placement, the operation was performed safely and efficiently without any adverse events. The patient recovered uneventfully. The pathological specimen was classified as pT3N2bM0 with negative resection margins. Robotic-assisted surgery is advantageous for rectal cancer treatment even when anatomical abnormalities make the surgical procedure more difficult.
Databáze:	OpenAIRE
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