Retroperitoneal laparoscopic radical resection of left renal carcinoma with situs inversus totalis: 1 case report and literature review
LU Jianlei1, SUN Beibei2, WANG Chao1
1Department of Urology, the First People's Hospital of Jining, Jining 272011,China; 2Department of Operating Room, the Second People's Hospital of Jining
Abstract：Objective： To observe the posterior abdominal anatomical changes of the situs inversus totalis (SIT) (or visceral translocation) by retroperitoneal laparoscopic radical surgery on the left kidney. Methods： A retrospective analysis was conducted on the diagnosis and treatment of a patient admitted to our hospital in September 2017 who received retroperitoneal radical nephrectomy of the left kidney accompanied by visceral translocation of a left renal carcinoma. Combined with the video of the operation, the anatomical changes of posterior abdominal visceral translocation and related surgical strategies were discussed by reviewing relevant literature. Results： The patient was diagnosed as having total visceral translocation complicated with left renal carcinoma. The anatomical structures of inferior vena cava, short renal vein and reproductive vein were visible in the left posterior abdominal cavity. Its anatomic characteristic was opposite to the normal person, namely left renal artery was longer, left renal vein was very short, and at the same time, genital vein and the left adrenal central vein that enters inferior vena cava were seen. Conclusion： The incidence of visceral translocation is relatively low, and retroperitoneal laparoscopic surgery is more rare. Therefore, detailed imaging examination should be conducted before surgery to identify retroperitoneal anatomy and fully consider the anatomical variation structure to avoid injury to these tissues.
路建磊, 孙贝贝, 王超. 内脏转位后腹腔镜左肾癌根治术1例报告并文献复习[J]. 微创泌尿外科杂志, 2019, 8(6): 377-379.
LU Jianlei, SUN Beibei, WANG Chao. Retroperitoneal laparoscopic radical resection of left renal carcinoma with situs inversus totalis: 1 case report and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(6): 377-379.
[1] TREIGER BF, KHAZAN R, GOLDMAN SM, et al.Renal cell carcinoma with situs inversus totalis. Urology, 1993,41(5):455-457. [2] ADLER HL, LERNER SP.Renal cell carcinoma and situs inversus viscerum. J Urol, 1998,160(6Pt1):2141-2142. [3] BERTINI JJ, BOILEAU M.Renal cell carcinoma in a patient with situs inversus totalis. J Surg Oncol, 1987,34(1):29-31. [4] HRUKI T, MAETA Y, NAKAMURA S, et al.Advanced cancer with situs inversus tatalis associated with KIF3 complex deficiency: report of two cases. Surg Today, 2010,40(2):162-166. [5] JIMÉNEZ VA, MARTÍNEZ TORRES JL, PALAO YAGO F, et al. Renal cell carcinoma in patient with situs inversus and Kartagener syndrome. Actas Urol Esp, 2000,24(2):169-172. [6] OAKE J, DRACHENBERG D.A case of renal cell carcinoma in a patient with situs inversus: Operative considerations and a review of the literature. Can Urol Assoc J, 2017,11(5):E233-E236. [7] 罗洪波,杨罗艳,欧阳时锋.全内脏转位并先天性右肾盂输尿管交界狭窄及双肾旋转异常1例.中国综合临床,2002,18(12):1128-1128. [8] MAKIYAMA K, SAKATA R, YAMANAKA H, et al.Laparoscopic nephroureterectomy in renal pelvic urothelial carcinoma with situs inversustotalis: preoperative training using a patient-specific simulator. Urology, 2012,80(6):1375-1378. [9] ITO J, KAIHO Y, IWAMURA H, et al.Laparoscopic radical nephrectomy for a right renal tumor with renal vein tumor thrombus in a patient with situs inversus totalis. Asian J Endosc Surg, 2018,12(2):185-188. [10] GÖKÇEN K, ÇELIK H, KOBANER M, et al. Laparoscopic transperitoneoscopic nephroureterectomy in a patient with situs inversustotalis. Indian J Surg, 2015,77(Suppl 1):147-149.
