Scholarlink

<p>Here we present the first case of both laparoscopic and robot-assisted repeat liver resections in a patient with Situs Inversus Totalis (SIT). The patient is a 69-year-old male who had been diagnosed in 2020, at the age of 65, with a 44&#xa0;mm hepatocellular carcinoma (HCC) located at segment 4, treated through a laparoscopic left hepatectomy. After a disease-free period of 18&#xa0;months, he underwent a laparoscopic segment 5 segmentectomy for recurrence. 21&#xa0;months later, due to new recurrences located at segment 6 and segment 8, he underwent a segment 6 and segment 8 partial resection with robot-assisted approach. Both the laparoscopic liver resections were performed with selective extrahepatic Glissonean approach and ICG negative staining, after accurate 3D preoperative planning. 3D navigation proved crucial as well during the third surgery, which was performed with robot-assisted approach. To our knowledge, this is the first case of laparoscopic and robot-assisted repeat liver surgery in a patient affected by SIT, proving the feasibility of minimally invasive surgery even in extremely complex contexts, especially with the help of innovative tools such as ICG guidance and 3D navigation.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Minimally invasive repeat liver resection in a patient with situs inversus totalis: report of a challenging case

  • 期刊论文

  • 发表日期：

    2025年12月8日

查看全文
  • Marco Colella,
  • Federico Gaudenzi,
  • Taiga Wakabayashi,
  • Yu Teshigahara,
  • Yusuke Nie,
  • Malek Alomari,
  • Kohei Mishima,
  • Go Wakabayashi

摘要

Here we present the first case of both laparoscopic and robot-assisted repeat liver resections in a patient with Situs Inversus Totalis (SIT). The patient is a 69-year-old male who had been diagnosed in 2020, at the age of 65, with a 44 mm hepatocellular carcinoma (HCC) located at segment 4, treated through a laparoscopic left hepatectomy. After a disease-free period of 18 months, he underwent a laparoscopic segment 5 segmentectomy for recurrence. 21 months later, due to new recurrences located at segment 6 and segment 8, he underwent a segment 6 and segment 8 partial resection with robot-assisted approach. Both the laparoscopic liver resections were performed with selective extrahepatic Glissonean approach and ICG negative staining, after accurate 3D preoperative planning. 3D navigation proved crucial as well during the third surgery, which was performed with robot-assisted approach. To our knowledge, this is the first case of laparoscopic and robot-assisted repeat liver surgery in a patient affected by SIT, proving the feasibility of minimally invasive surgery even in extremely complex contexts, especially with the help of innovative tools such as ICG guidance and 3D navigation.