{"title":"机器人半结肠切除术治疗全坐位不全患者的升结肠癌。","authors":"Junki Kato, Takahisa Hirokawa, Kenji Kobayashi, Moritsugu Tanaka, Masahiro Kimura","doi":"10.1186/s40792-024-01982-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Situs inversus totalis (SIT) is a rare congenital anomaly in which the thoracic and abdominal cavity structures are completely opposite to normal. Performing robot-assisted surgery in these patients is difficult because of these anomalies. A few reports have described robot-assisted surgery for rectal cancer in patients with SIT, but no reports to date have described robot-assisted surgery for colon cancer.</p><p><strong>Case presentation: </strong>A 74-year-old female presented with abdominal pain and was diagnosed with ascending colon cancer and SIT. We carefully planned the surgical procedure and performed robot-assisted hemi-colectomy. Although we used unusual port placement, the operation was performed safely. The patient was discharged without any complications.</p><p><strong>Conclusions: </strong>Robot-assisted surgery is safe and efficient for patients with anatomical anomalies.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11291778/pdf/","citationCount":"0","resultStr":"{\"title\":\"Robotic hemi-colectomy for ascending colon cancer in a patient with situs inversus totalis.\",\"authors\":\"Junki Kato, Takahisa Hirokawa, Kenji Kobayashi, Moritsugu Tanaka, Masahiro Kimura\",\"doi\":\"10.1186/s40792-024-01982-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Situs inversus totalis (SIT) is a rare congenital anomaly in which the thoracic and abdominal cavity structures are completely opposite to normal. Performing robot-assisted surgery in these patients is difficult because of these anomalies. A few reports have described robot-assisted surgery for rectal cancer in patients with SIT, but no reports to date have described robot-assisted surgery for colon cancer.</p><p><strong>Case presentation: </strong>A 74-year-old female presented with abdominal pain and was diagnosed with ascending colon cancer and SIT. We carefully planned the surgical procedure and performed robot-assisted hemi-colectomy. Although we used unusual port placement, the operation was performed safely. The patient was discharged without any complications.</p><p><strong>Conclusions: </strong>Robot-assisted surgery is safe and efficient for patients with anatomical anomalies.</p>\",\"PeriodicalId\":22096,\"journal\":{\"name\":\"Surgical Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11291778/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40792-024-01982-y\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40792-024-01982-y","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
背景：全腹不对称（Situs inversus totalis，SIT）是一种罕见的先天性畸形，胸腔和腹腔结构与正常完全相反。由于这些畸形，在这些患者身上实施机器人辅助手术非常困难。有几篇报道介绍了用机器人辅助手术治疗 SIT 患者的直肠癌，但迄今为止还没有报道介绍过用机器人辅助手术治疗结肠癌：一名 74 岁的女性因腹痛前来就诊，被诊断为升结肠癌和 SIT。我们精心策划了手术过程，并实施了机器人辅助半结肠切除术。虽然我们使用了不寻常的端口放置方式，但手术还是安全地完成了。患者出院时未出现任何并发症：结论：机器人辅助手术对解剖异常的患者安全有效。
Robotic hemi-colectomy for ascending colon cancer in a patient with situs inversus totalis.
Background: Situs inversus totalis (SIT) is a rare congenital anomaly in which the thoracic and abdominal cavity structures are completely opposite to normal. Performing robot-assisted surgery in these patients is difficult because of these anomalies. A few reports have described robot-assisted surgery for rectal cancer in patients with SIT, but no reports to date have described robot-assisted surgery for colon cancer.
Case presentation: A 74-year-old female presented with abdominal pain and was diagnosed with ascending colon cancer and SIT. We carefully planned the surgical procedure and performed robot-assisted hemi-colectomy. Although we used unusual port placement, the operation was performed safely. The patient was discharged without any complications.
Conclusions: Robot-assisted surgery is safe and efficient for patients with anatomical anomalies.
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