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Surgical Innovation
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Laparoscopic Diverticular Resection With Situs Inversus Totalis (SIT): Report of a Case

Sanjay Jobanputra, MD

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida

Bashar Safar, MD

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida

Steven D. Wexner, MD

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, rianof{at}ccf.org

Situs inversus totalis (SIT) is a rare condition where the abdominal and thoracic cavity structures are opposite of their usual position. Laparoscopic colonic surgery for this patient population is not well described, with only 2 reported cases. Our patient was a 62-year-old female with a history of SIT who underwent a laparoscopic sigmoid colectomy for recurrent diverticulitis. The procedure included the use of 4 ports. The sigmoid colon was noted on the right side. Laparoscopic resection with stapled anastomosis was performed. The patient tolerated the procedure well and was discharged home on postoperative day 5 without complications. We present a third case of laparoscopic colectomy for diverticulitis in a patient with SIT and a description of the operative procedure.

Key Words: situs inversus • laparoscopy • diverticulitis • colectomy

Surgical Innovation, Vol. 14, No. 4, 284-286 (2007)
DOI: 10.1177/1553350607311089
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