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Laparoscopic Abdominoperineal Resection for Rectal Cancer in a Patient With Situs Inversus Totalis

Choi, Sung Il MD*; Park, Sun Jin MD*; Kang, Byung Mo MD*; Lee, Kil Yeon MD*; Lee, Haeng Chul MD; Lee, Suk-Hwan MD, PhD*

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2011 - Volume 21 - Issue 2 - p e87–e90
doi: 10.1097/SLE.0b013e31820b0258
Online Articles: Case Reports

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:

Received May 27, 2010

Accepted August 29, 2010

© 2011 Lippincott Williams & Wilkins, Inc.