Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report

Situs inversus totalis (SIT) is a rare congenital condition characterized by a complete reversal of the internal organ arrangement, presenting significant surgical challenges. While previous cases of colorectal cancer in SIT patients have been reported, cases involving sigmoid colon cancer are spora...

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Main Authors: Chao-Yue Zhang, Jing He, Lang-Chao Huang, Long Chen, Hui Pan, Yong-Le Chen, Yi Peng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1613470/full
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author Chao-Yue Zhang
Jing He
Lang-Chao Huang
Long Chen
Hui Pan
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yi Peng
author_facet Chao-Yue Zhang
Jing He
Lang-Chao Huang
Long Chen
Hui Pan
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yi Peng
author_sort Chao-Yue Zhang
collection DOAJ
description Situs inversus totalis (SIT) is a rare congenital condition characterized by a complete reversal of the internal organ arrangement, presenting significant surgical challenges. While previous cases of colorectal cancer in SIT patients have been reported, cases involving sigmoid colon cancer are sporadic. Here, we present the case of a 68-year-old female with sigmoid colon cancer and SIT. Following thorough preoperative preparation and a multidisciplinary team (MDT) consultation, the patient successfully underwent a laparoscopic radical sigmoidectomy. Her postoperative recovery was smooth, and she was discharged on postoperative day 10. At the 3-month follow-up, no short-term complications or signs of tumor recurrence were observed. This case highlights the importance of meticulous surgeon positioning in facilitating laparoscopic surgery for patients with SIT.
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institution Kabale University
issn 2234-943X
language English
publishDate 2025-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-802767a4cd7c4a0cb3bbee950c54965b2025-08-20T04:14:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-08-011510.3389/fonc.2025.16134701613470Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case reportChao-Yue Zhang0Jing He1Lang-Chao Huang2Long Chen3Hui Pan4Yong-Le Chen5Yong-Le Chen6Yong-Le Chen7Yong-Le Chen8Yi Peng9Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaDepartment of General Surgery (Department of Gastrointestinal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaBiomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Gastrointestinal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University Yuexi Hospital, Xinyi, ChinaSitus inversus totalis (SIT) is a rare congenital condition characterized by a complete reversal of the internal organ arrangement, presenting significant surgical challenges. While previous cases of colorectal cancer in SIT patients have been reported, cases involving sigmoid colon cancer are sporadic. Here, we present the case of a 68-year-old female with sigmoid colon cancer and SIT. Following thorough preoperative preparation and a multidisciplinary team (MDT) consultation, the patient successfully underwent a laparoscopic radical sigmoidectomy. Her postoperative recovery was smooth, and she was discharged on postoperative day 10. At the 3-month follow-up, no short-term complications or signs of tumor recurrence were observed. This case highlights the importance of meticulous surgeon positioning in facilitating laparoscopic surgery for patients with SIT.https://www.frontiersin.org/articles/10.3389/fonc.2025.1613470/fullsigmoid colon cancersitus inversus totalislaparoscopysurgerytechnology
spellingShingle Chao-Yue Zhang
Jing He
Lang-Chao Huang
Long Chen
Hui Pan
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yong-Le Chen
Yi Peng
Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
Frontiers in Oncology
sigmoid colon cancer
situs inversus totalis
laparoscopy
surgery
technology
title Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
title_full Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
title_fullStr Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
title_full_unstemmed Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
title_short Minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis: a case report
title_sort minimally invasive surgical treatment for sigmoid colon cancer in a patient with situs inversus totalis a case report
topic sigmoid colon cancer
situs inversus totalis
laparoscopy
surgery
technology
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1613470/full
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