The situs inversus totalis (SIT) patient undergoing robot assisted radical hysterectomy surgery successfully: a case report

doi:10.3877/cma.j.issn.1674-6899.2021.04.013

Abstract

Abstract:

Objective

To investigate the safety and feasibility of robot-assisted radical hysterectomy in patients with situs inversus totalis.

Methods

A retrospective analysis of the clinical information of a patient with situs inversus totalis combined with cervical cancer in the Department of Gynecology, First Affiliated Hospital of China Medical University in Jan. 2019.

Results

The patient successfully completed the operation. The total operation time was 7 hours, the operation time of the surgeon was 6.5 hours, the intraoperative blood loss was about 50 ml, and the postoperative pathology was cervical squamous cell carcinoma.

Conclusions

Da Vinci robot-assisted radical hysterectomy for patients with situs inversus totalis and cervical cancer has a certain degree of safety and effectiveness. At the same time, it has the advantages of small trauma, less pain, quick recovery, and beautiful incision.

Key words: Situs inversus totalis, Cervical cancer, Da Vinci, Radical hysterectomy

Yingjie Su, Lei Dou, Dongli Tian, Enting Lu, Yi Zhang. The situs inversus totalis (SIT) patient undergoing robot assisted radical hysterectomy surgery successfully: a case report[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(04): 245-247.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.04.013

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Figures/Tables 3

References 18

1	Casey B. Genetics of human situs abnormalities[J]. Am J Med Genet, 2001, 101(4): 356-358.
2	Chib P, Grover DN, Shahi BN. Unusual occurrence of dextrocardia with situs inversus in succeeding generations of a family[J]. J Med Genet, 1977，14(1): 30-32.
3	赵孟玲，郭瑞霞．机器人辅助腹腔镜宫颈癌转移淋巴结切除经验及思考[J/CD]．中华腔镜外科杂志(电子版)，2019，12(4)：222-225.
4	Boskovski MT, Yuan S, Pedersen NB, et al. The heterotaxy gene galnt11 glycosylates notch to orchestrate cilia type and laterality[J]. Nature, 2013, 504(7480): 456-459.
5	Iusco DR, Sacco S, Ismail I, et al. Three-trocar laparoscopic cholecystectomy in patient with situs viscerum inversus totalis: case report and review of the literature[J]. G Chir, 2012, 33(1): 10-13.
6	Maclean K, Dunwoodie SL. Breaking symmetry: a clinical overview of left-right patterning[J]. Clin Genet, 2004, 65(6): 441-457.
7	Koh WJ, Abu-Rustum NR, Bean S, et al. Cervical cancer, version 3.2019, nccn clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw, 2019, 17(1): 64-84.
8	Miller JW, Hanson V, Johnson GD, et al. From cancer screening to treatment: service delivery and referral in the national breast and cervical cancer early detection program[J]. Cancer, 2014, 120(16): 2549-2556.
9	Kim K, Zang R, Choi SC, et al. Current status of gynecological cancer in china[J]. J Gynecol Oncol, 2009, 20(2): 72-76.
10	Puntambekar SP, Palep RJ, Puntambekar SS, et al. Laparoscopic total radical hysterectomy by the pune technique: our experience of 248 cases[J]. J Minim Invasive Gynecol, 2007, 14(6): 682-689.
11	Chen Y, Xu H, Li Y, et al. The outcome of laparoscopic radical hysterectomy and lymphadenectomy for cervical cancer: a prospective analysis of 295 patients[J]. Ann Surg Oncol, 2008, 15(10): 2847-2855.
12	Nam JH, Park JY, Kim DY, et al. Laparoscopic versus open radical hysterectomy in early-stage cervical cancer: long-term survival outcomes in a matched cohort study[J]. Ann Oncol, 2012, 23(4): 903-911.
13	Sert BM, Boggess JF, Ahmad S, et al. Robot-assisted versus open radical hysterectomy: a multi-institutional experience for early-stage cervical cancer[J]. Eur J Surg Oncol, 2016, 42(4): 513-522.
14	Mendivil AA, Rettenmaier MA, Abaid LN, et al. Survival rate comparisons amongst cervical cancer patients treated with an open, robotic-assisted or laparoscopic radical hysterectomy: a five year experience[J]. Surg Oncol, 2016, 25(1): 66-71.
15	Park DA, Yun JE, Kim SW, et al. Surgical and clinical safety and effectiveness of robot-assisted laparoscopic hysterectomy compared to conventional laparoscopy and laparotomy for cervical cancer: a systematic review and meta-analysis[J]. Eur J Surg Oncol, 2017, 43(6): 994-1002.
16	Ramirez PT, Frumovitz M, Pareja R, et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer[J]. N Engl J Med, 2018, 379(20): 1895-1904.
17	Melamed A, Margul DJ, Chen L, et al. Survival after minimally invasive radical hysterectomy for early-stage cervical cancer[J]. N Engl J Med, 2018, 379(20): 1905-1914.
18	Abu-Rustum NR, Yashar CM, Bean S, et al. Nccn guidelines insights: cervical cancer, version 1.2020[J]. J Natl Compr Canc Netw, 2020, 18(6): 660-666.

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