HEMICOLECTOMY WITH EXTENDED LYMPH NODE DISSECTION IN PATIENT WITH SITUS VISCERUM INVERSUS

Colorectal resection for cancer in a patient with partial situs inversus was described for the first time. Hemicolectomy with D3 lymph node dissection for left-sided ascending colon cancer was performed in a 78-year-old woman with abdominal organ transposition and laevocardia. There were no intraoperative complications, but the procedure was technically challengeable due to advanced  adhesions in the abdomen after the previous cholecystectomy. The case illustrates following the oncological principles in patients with abnormality. In order to determine proper volume of surgery and to minimize risk of intra-and postoperative complications, application of high-tech diagnostic tools is preferable, including CT reconstruction of vessels and other anatomical structures situated in the surgical site.