Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

Petrovic, M.; Rabrenović, Violeta; Stamenković, Dušica; Vavic, Neven; Kovačević, Zoran; Ignjatović, Ljiljana; Jovanović, D; Antić, Svetlana; Novák, Miroslav; Tomic, Aleksandar; Bančević, Vladimir

doi:10.2298/vsp131010036p

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Our literature review found a total of 10 cases of donor nephrectomy in individuals with SIT [13][14][15][16][17][18][19][20] (Table 1). These cases were reported in eight different studies, with the first one being published by Black et al in 2003 [13].…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single-Site Surgery (LESS) for Right Donor Nephrectomy in a Patient With Situs Inverses Totalis: A Novel Approach for Such a Case

Almalki,

Fikri,

Jouhar

et al. 2024

Cureus

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Situs inversus totalis (SIT) is a rare congenital condition where the organs of the thorax and abdomen are arranged in a mirror image reversal of their normal position. Patients with SIT present unique challenges in surgical procedures, particularly in laparoscopic surgeries, due to the need to reverse the operator's perspective, technical difficulty in handling the instruments, anatomical variations, and an increased risk of intraoperative complications. In this case report, we present the first case in the English literature of a 49-year-old Arabic male patient with SIT who underwent a successful right laparoendoscopic single-site surgery donor nephrectomy. We described the surgical technique used and highlighted the key challenges faced and overcome during the procedure.

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Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single-Site Surgery (LESS) for Right Donor Nephrectomy in a Patient With Situs Inverses Totalis: A Novel Approach for Such a Case

Almalki,

Fikri,

Jouhar

et al. 2024

Cureus

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“…There are several reports about living donations and performing laparoscopic nephrectomies, with excellent result, as it was expected. [112][113][114][115] Detailed imaging is mandatory to reveal the exact anatomy.…”

Section: Kidneymentioning

confidence: 99%

Situs Inversus Totalis: A Clinical Review

Eitler¹,

Bibok²,

Telkes³

2022

IJGM

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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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Situs inversus totalis: revisión de tema con aproximación a la Genética y reporte de casos

Reales

Gallego

Espitia

et al. 2017

Revista Colombiana de Cardiología

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Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

Abstract: In donors with previously di- agnosed SIT the multidisciplinary approach, preoperative evaluation of the patient and detection of possible vascular anomalies are required to provide maximum safety for the donor.

Cited by 4 publications

References 26 publications

Laparoendoscopic Single-Site Surgery (LESS) for Right Donor Nephrectomy in a Patient With Situs Inverses Totalis: A Novel Approach for Such a Case

Laparoendoscopic Single-Site Surgery (LESS) for Right Donor Nephrectomy in a Patient With Situs Inverses Totalis: A Novel Approach for Such a Case

Situs Inversus Totalis: A Clinical Review

Situs inversus totalis: revisión de tema con aproximación a la Genética y reporte de casos

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