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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

References

  • Kobus C., Targarona EM, Bendahan GE, et al. Laparoscopic surgery in situs inversus: a literature review and a report of laparoscopic sigmoidectomy for diverticulitis in situs inversus. Langenbacks Arch Surg. 2004;389:369-399.
  • Wittgrove AC, Clark GW Laparoscopic gastric bypass for morbid obesity in a patient with situs inversus. J Laparoendosc Adv Surg Tech A. 1998;8:53-55.[Web of Science][Medline] [Order article via Infotrieve]
  • Yamaguchi S., Orita T., Mii S., Sakata H., Hashizume M. Laparoscope-assisted distal gastrectomy for early gastric cancer in a 76-year-old man with situs inversus totalis. Surg Endosc. 2002;17:352-353.
  • Davies H., Slater GH, Bailey M. Laparoscopic sigmoid colectomy for diverticular disease in a patient with situs inversus. Surg Endosc. 2002;17:160-161.
  • Oms LM, Badia JM Laparoscopic cholecystectomy in situs inversus totalis and the importance of being left-handed. Surg Endosc. 2003;17:1859-1861.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]

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


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
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Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
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Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Jobanputra, S.
Right arrow Articles by Wexner, S. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jobanputra, S.
Right arrow Articles by Wexner, S. D.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Endoscopy
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