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World Journal of Surgical Oncology
Published in: World Journal of Surgical Oncology 1/2018

Open Access 01-12-2018 | Case report

Retrolaparoscopic adrenalectomy assisted by three-dimensional reconstructed digital model in a patient with situs inversus totalis

Authors: Xiaobin Yuan, Bin Zhang, Caoyang Hu, Xuhui Zhang, Dongwen Wang

Published in: World Journal of Surgical Oncology | Issue 1/2018

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Abstract

Background

Situs inversus totalis is a relatively rare congenital anomaly. Performing the retrolaparoscopic adrenalectomy for the patient with situs inversus totalis is a skill-demanding and challenging surgical task, which has been even more rarely reported.

Case presentation

We present a case with a large right adrenal mass (10.2 × 9.4 × 7.9 cm) complicated by situs inversus totalis. This 59-year-old female patient underwent the retrolaparoscopic adrenalectomy in our department. In order to facilitate the surgical orientation and improve the manipulating accuracy, the data from computed tomography images was extracted and the three-dimensional digital model was reconstructed. Under the assistance of preoperative planning and intraoperative navigation by the three-dimensional digital model, the retrolaparoscopic adrenalectomy was technically precise and successful. The targeted adrenal tumor was excised completely with final pathological diagnosis of adrenocortical adenoma.

Conclusions

Retrolaparoscopic adrenalectomy can be performed safely in patients with situs inversus totalis. The assistance of preoperative planning and intraoperative navigation by the reconstructed three-dimensional digital model can facilitate the operation and lead to more precise vessel manipulation and accurate excision of tumor that is both effective and safe.
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Literature
1.
Iwamura T, Shibata N, Haraguchi Y, Hisashi Y, Nishikawa T, Yamada H, Hayashi T, Toyoda K. Synchronous double cancer of the stomach and rectum with situs inversus totalis and polysplenia syndrome. J Clin Gastroenterol. 2001;33:148–53.CrossRefPubMed
2.
Al Jumaily M, Hoche F. Laparoscopic cholecystectomy in situs inversus totalis: is it safe? J Laparoendosc Adv Surg Tech A. 2001;11(4):229–31.CrossRefPubMed
3.
Kashiwagi S, Ishikawa T, Onoda N, Kawajiri H, Takashima T, Hirakawa K. Laparoscopic adrenalectomy in a patient with situs inversus. J Soc Laparoendosc Surg. 2013;17(3):487–90.CrossRef
4.
5.
Boland MR, Lowery AJ, Walsh S, Beddy D, Prichard RS, O’Shea D, Skehan SJ, McDermott EW. Incidental phaeochromocytoma on staging PET-CT in a patient with a sigmoid tumour and situs inversalis totalis. Case Rep Surg. 2014;2014:645462.PubMedPubMedCentral
6.
Toutounchi S, Krajewska E, Fiszer P, Cieśla W, Żukowska M, Pogorzelski R, Skórski M. Laparoscopic adrenalectomy in a patient with situs inversus levocardia. Videosurg Other Miniinvas Tech. 2012;7(3):213.CrossRef
7.
Wang D, Zhang B, Yuan X, Zhang X, Liu C. Preoperative planning and real-time assisted navigation by three-dimensional individual digital model in partial nephrectomy with three-dimensional laparoscopic system. Int J Comput Assist Radiol Surg. 2015;10(9):1461–8.CrossRefPubMed
8.
Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalectomy: new gold standard. World J Surg. 1999;23:389–96.CrossRefPubMed
9.
Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992;327:1033.CrossRefPubMed
10.
Conzo G, Gambardella C, Candela G, Sanguinetti A, Polistena A, Clarizia G, Patrone R, Di Capua F, Offi C, Musella M, Iorio S, Bellastella G, Pasquali D, De Bellis A, Sinisi A, Avenia N. Single center experience with laparoscopic adrenalectomy on a large clinical series. BMC Surg. 2018;18(1):2.CrossRefPubMedPubMedCentral
11.
Conzo G, Pasquali D, Gambardella C, Della Pietra C, Esposito D, Napolitano S, Tartaglia E, Mauriello C, Thomas G, Pezzolla A, De Bellis A, Santini L, Sinisi AA. Long-term outcomes of laparoscopic adrenalectomy for Cushing disease. Int J Surg. 2014;12(Suppl 1):S107–11.CrossRefPubMed
12.
Fujiwara Y, Fukunaga Y, Higashino M, Tanimura S, Takemura M, Tanaka Y, Osugi H. Laparoscopic hemicolectomy in a patient with situs inversus totalis. World J Gastroenterol. 2007;13:5035–7.CrossRefPubMedPubMedCentral
13.
14.
Kim HB, Lee JH, Park DJ, Lee HJ, Kim HH, Yang HK. Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient. J Korean Surg Soc. 2012;82:321–4.CrossRefPubMedPubMedCentral
Metadata
Title
Retrolaparoscopic adrenalectomy assisted by three-dimensional reconstructed digital model in a patient with situs inversus totalis
Authors
Xiaobin Yuan
Bin Zhang
Caoyang Hu
Xuhui Zhang
Dongwen Wang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2018
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-018-1473-8

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