Urology Case Reports (Jan 2020)

Hand-assisted laparoscopic radical nephrectomy for renal cell carcinoma in a patient with situs inversus totalis

  • Eric M. Chevli,
  • Tyler J. Maiers,
  • David J. Abramowitz,
  • Shervin Badkhshan,
  • John J. Bodkin, III

Journal volume & issue
Vol. 28

Abstract

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Situs inversus totalis (SIT) is a rare condition with left-right mirror imaging of both abdominal and thoracic organs. While this configuration is rarely of medical importance, an understanding of this unique anatomy is essential in the setting of surgical intervention. Here we review a case of renal cell carcinoma (RCC) in the setting of SIT. The patient underwent a hand-assisted laparoscopic radical nephrectomy. Pathology revealed pT3aNxMx Fuhrman Grade 2 clear cell RCC. Keywords: Laparoscopy, Oncology, Renal cell carcinoma, RCC, Situs inversus totalis