Situs inversus totalis (SIT) is a very rare condition. Laparoscopic surgery in a patient with SIT is difficult because the surgeon's dexterity is compromised during the procedure, and the patient's anatomy is the mirror image of normal. We present a SIT patient who underwent laparoscopic abdominoperineal resection for rectal cancer. The detailed operative procedures and trocar placement considerations are described.
*Department of Surgery, Kyung Hee University School of Medicine, Seoul
†Department of Surgery, Seogwipo Youllin Hospital, Jeju, South Korea
This paper was presented at the meeting of the Korean Society of Endoscopic and Laparoscopic Surgeon, Gangneung, Gangwon-do, South Korea, on April 22, 2006.
Reprints: Suk-Hwan Lee, MD, PhD, Department of Surgery, Kyung Hee Neo-Medical Center, Kyung Hee University School of Medicine, #149, Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea (e-mail: firstname.lastname@example.org).
Received May 27, 2010
Accepted August 29, 2010