HEMICOLECTOMY WITH EXTENDED LYMPH NODE DISSECTION IN PATIENT WITH SITUS VISCERUM INVERSUS
https://doi.org/10.33878/2073-7556-2020-19-4-107-114
Abstract
Colorectal resection for cancer in a patient with partial situs inversus was described for the first time.
Hemicolectomy with D3 lymph node dissection for left-sided ascending colon cancer was performed in a 78-year-old woman with abdominal organ transposition and laevocardia.
There were no intraoperative complications, but the procedure was technically challengeable due to advanced adhesions in the abdomen after the previous cholecystectomy.
The case illustrates following the oncological principles in patients with abnormality. In order to determine proper volume of surgery and to minimize risk of intra-and postoperative complications, application of high-tech diagnostic tools is preferable, including CT reconstruction of vessels and other anatomical structures situated in the surgical site.
Hemicolectomy with D3 lymph node dissection for left-sided ascending colon cancer was performed in a 78-year-old woman with abdominal organ transposition and laevocardia.
There were no intraoperative complications, but the procedure was technically challengeable due to advanced adhesions in the abdomen after the previous cholecystectomy.
The case illustrates following the oncological principles in patients with abnormality. In order to determine proper volume of surgery and to minimize risk of intra-and postoperative complications, application of high-tech diagnostic tools is preferable, including CT reconstruction of vessels and other anatomical structures situated in the surgical site.
About the Authors
D. G. Shakhmatov
Ryzhikh National Medical Research Center of Coloproctology;
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
Barrikadnaya str., 2/1-1, Moscow, 125993, Russia
K. R. Saifutdinova
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Barrikadnaya str., 2/1-1, Moscow, 125993, Russia
R. R. Eligulashvili
Ryzhikh National Medical Research Center of Coloproctology
Salyama Adilya str., 2, Moscow, 123423, Russia
I. I. Muratov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Salyama Adilya str., 2, Moscow, 123423, Russia
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Review
For citations:
Shakhmatov D.G., Saifutdinova K.R., Eligulashvili R.R., Muratov I.I. HEMICOLECTOMY WITH EXTENDED LYMPH NODE DISSECTION IN PATIENT WITH SITUS VISCERUM INVERSUS. Koloproktologia. 2020;19(4):107-114. (In Russ.) https://doi.org/10.33878/2073-7556-2020-19-4-107-114
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