Robotic radical nephroureterectomy in a patient with situs inversus totalis

Britt, Jacob; Jain, Rohit; Li, Roger

doi:10.1016/j.eucr.2021.101688

Cited by 4 publications

(4 citation statements)

References 2 publications

(2 reference statements)

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“… 2 For robotic surgery, Britt et al reported a successful operation of robotic nephroureterectomy with SIT. 3 In general, for SIT patients, it is essential to confirm the anatomical landmark in unusual localization, such as the liver, spleen, gonadal vein, and IVC. With the laparoscopic approach, it may become more difficult by the limited operation field of the laparoscopic view.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted partial nephrectomy for T1b renal cell carcinoma with complete situs inversus totalis with pre- and intraoperative three-dimensional virtual imaging

Yazaki

Ieda

China

et al. 2023

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

Robot-assisted partial nephrectomy for T1b renal cell carcinoma with complete situs inversus totalis with pre- and intraoperative three-dimensional virtual imaging

Yazaki

Ieda

China

et al. 2023

Urology Case Reports

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“…The use of such a technique showed promising results in reducing postoperative pain, perioperative morbidity, and early return to work [ 18 ]. Britt et al reported the first nephrectomy to be performed using robotic techniques in patients with SIT and the third to use a minimally-invasive approach, with equivalent outcomes to conventional surgical methods [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Successful management of ectopic kidney stones in a patient with situs inversus totalis: a rare case report

et al. 2022

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Background Situs inversus totalis is a very rare congenital anatomical variation, in which all thoracic and abdominal organs are right-left inverted. This condition is associated with an increased risk of organ malformations including ectopic kidney, which is a very rare combination. Case presentation A 56-year-old male presented with colicky left iliac pain associated with nausea, vomiting, and irritative lower urinary symptoms. The patient has a medical history of recurrent lower urinary infections and a family history of situs inversus totalis. Radiological images demonstrated dextrocardia, situs inversus totalis of all the abdominal organs, and an ectopic pelvic kidney on the left side, with 4 stones inside it. Left nephrectomy was performed due to extensive renal damage. At discharge and during follow-up, the patient's condition was satisfactory and stable. Conclusions The ectopic kidney may present diagnostic and therapeutic challenges when associated with situs inversus.

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“…Many other surgical procedures have been reported in SIT patients. These include sleeve gastrectomy for morbid obesity, 100,101 proximal gastric resection, 102 "distal" gastric resection, 103,104 total gastrectomy for malignancy, 105,106 laparoscopic pancreato-duodenectomy, 107 nephrectomy, 108 complicated choledochal cyst 109 and different colorectal operations, eg, sigmoid resection, rectal resection, etc. 110,111 We previously published a case of malignant masquerade biliary stricture in a situs inversus totalis patient (who gave his written consent to that) when distal resection of the common bile duct, cholecystectomy and hilar lymphadenectomy were performed.…”

Section: Other Operationsmentioning

confidence: 99%

Situs Inversus Totalis: A Clinical Review

Eitler¹,

Bibok²,

Telkes³

2022

IJGM

100

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Situs inversus totalis is a rare congenital abnormality characterized by a mirror-image transposition of both the abdominal and the thoracic organs. While this anomaly is known since the ancient times, practicing doctors do not have much experience with it. Laterality is established early in development, and any failure in that process might lead to a wide variety of disorders which may be partial or complete. Situs solitus describes the normal anatomy, situs inversus is the complete reversal, and situs ambiguous is used for any other abnormality of left-right development. Sidedness is regulated by genes: over 100 genes have been linked to laterality defects. Frequency of situs inversus is 1:10,000 and is more frequent in males: 1.5:1. Advanced imaging modalities can be used to assess fine anatomical details, which play a crucial role in these cases to plan radiologic or surgical interventions. Percutaneous biliary procedures, portal vein embolization are really challenging procedures in SIT patients due to the mirror effect. As most surgeons are right-handed, SIT operations can cause difficulties: handling the instruments with their left hand or the pedals with their left foot can be uncomfortable Organ, especially liver transplantation represents an extraordinary surgical challenge. Solutions to overcome the anatomic differences include the use of segment or reduced size graft with rotation, modified piggy-back technique, side to-side caval anastomosis, and vascular conduit. Because of its rarity and special nature, surgical patients with situs inversus may require more flexibility and creativity from the surgical team.

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Robotic radical nephroureterectomy in a patient with situs inversus totalis

Cited by 4 publications

References 2 publications

Robot-assisted partial nephrectomy for T1b renal cell carcinoma with complete situs inversus totalis with pre- and intraoperative three-dimensional virtual imaging

Robot-assisted partial nephrectomy for T1b renal cell carcinoma with complete situs inversus totalis with pre- and intraoperative three-dimensional virtual imaging

Successful management of ectopic kidney stones in a patient with situs inversus totalis: a rare case report

Situs Inversus Totalis: A Clinical Review

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