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KMID : 0191120100250050790
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Journal of Korean Medical Science
2010 Volume.25 No. 5 p.790 ~ p.793
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Laparoscopic Total Mesorectal Excision in a Rectal Cancer Patient with Situs Inversus Totalis
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Huh Jung-Wook
Kim Hyeong-Rok
Cho Sang-Hyuk
Kim Choong-Young
Kim Hoon-Jin
Ju Jae-Kyun
Kim Young-Jin
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Abstract
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Situs inversus totalis is a rare anomaly in which the abdominal and thoracic cavity structures are opposite their usual positions. A 41-yr-old woman, who had an ulcerating cancer on the rectum, was found as a case of situs inversus totalis. We present an overview of the operative technique for the first documented laparoscopic total mesorectal excision of a rectal cancer in the patient with situs inversus totalis. Careful consideration of the mirror-image anatomy permitted a safe operation using techniques not otherwise different from those used for the general population. Therefore, curative laparoscopic surgery for rectal cancer in this patient is feasible and safe.
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KEYWORD
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Situs Inversus, Rectal Neoplasms, Laparoscopy
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