Robot-assisted Low Anterior Resection for Situs Inversus Totalis: A Novel Technical Approach for an Uncommon Condition
DC Field | Value | Language |
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dc.contributor.author | Leong, Quor Meng | - |
dc.contributor.author | Son, Dong-Nyung | - |
dc.contributor.author | Cho, Jae-Sung | - |
dc.contributor.author | Amar, Azali Hafiz-Yazee | - |
dc.contributor.author | Kim, Seon-Hahn | - |
dc.date.accessioned | 2021-09-06T22:04:32Z | - |
dc.date.available | 2021-09-06T22:04:32Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2012-04 | - |
dc.identifier.issn | 1530-4515 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/108937 | - |
dc.description.abstract | Introduction: Situs inversus totalis (SIT) is an uncommon condition, with an incidence of 1 in 10,000. Surgery for SIT patients is more difficult because of the uncommon anatomy. Experience in laparoscopic surgery for patients with SIT is very limited. Only a few cases of laparoscopic colorectal resections have been reported in the literature. We present the first robot-assisted low anterior resection for rectal cancer in a patient with SIT. Patient: A 70-year-old woman with SIT who presented with rectal bleeding underwent a colonoscopy and barium enema. This workup revealed a rectal cancer 10 cm from the anal verge. The magnetic resonance imaging scan revealed a T3/4 tumor in the rectum with perirectal lymph node involvement, whereas the computed tomography positron emission tomography scan did not reveal any distal metastasis. She underwent neoadjuvant chemoradiotherapy 6 weeks before surgery. Postoperatively, she made an uneventful recovery and was discharged on day 6. Surgical Technique: After laparoscopic examination and displacement of the small bowel, 4 robot trocars were inserted into 4 quadrants of the abdomen. A fifth port was inserted and used by the assistant. The robot cart was docked from the right side with arms 1, 2, and 3 in the right upper quadrant (Cadiere grasper), left lower quadrant (bipolar Maryland grasper), and left upper quadrant (monopolar scissors), respectively, for colonic mobilization without splenic flexure takedown. For pelvic dissection, arms 1 and 3 were moved to the right upper quadrant and right lower quadrant, respectively. After adequate pelvic dissection, the robot cart was undocked, and a laparoscopic articulating linear stapler was used to transect the rectum from the left lower quadrant port. Bowel continuity was restored with a circular stapler. A loop ileostomy was created through the extraction site in the right lower quadrant. Conclusions: Robot-assisted low anterior resection for SIT patients can be performed safely and confers the benefits of laparoscopic low anterior resection with additional advantages unique to the da Vinci system. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | TOTAL MESORECTAL EXCISION | - |
dc.subject | RECTAL-CANCER | - |
dc.subject | LAPAROSCOPIC CHOLECYSTECTOMY | - |
dc.subject | PATIENT | - |
dc.subject | SURGERY | - |
dc.title | Robot-assisted Low Anterior Resection for Situs Inversus Totalis: A Novel Technical Approach for an Uncommon Condition | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Seon-Hahn | - |
dc.identifier.doi | 10.1097/SLE.0b013e3182447ebc | - |
dc.identifier.scopusid | 2-s2.0-84859631384 | - |
dc.identifier.wosid | 000302771700010 | - |
dc.identifier.bibliographicCitation | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, v.22, no.2, pp.E87 - E90 | - |
dc.relation.isPartOf | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | - |
dc.citation.title | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | - |
dc.citation.volume | 22 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | E87 | - |
dc.citation.endPage | E90 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | TOTAL MESORECTAL EXCISION | - |
dc.subject.keywordPlus | RECTAL-CANCER | - |
dc.subject.keywordPlus | LAPAROSCOPIC CHOLECYSTECTOMY | - |
dc.subject.keywordPlus | PATIENT | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordAuthor | robot-assisted low anterior resection | - |
dc.subject.keywordAuthor | rectal cancer | - |
dc.subject.keywordAuthor | situs inversus totalis | - |
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