Title |
Pancreaticoduodenectomy for biliary tract carcinoma with situs inversus totalis: difficulties and technical notes based on two cases
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Published in |
World Journal of Surgical Oncology, December 2013
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DOI | 10.1186/1477-7819-11-312 |
Pubmed ID | |
Authors |
Daisuke Kyuno, Yasutoshi Kimura, Masafumi Imamura, Motonobu Uchiyama, Masayuki Ishii, Makoto Meguro, Masaki Kawamoto, Toru Mizuguchi, Koichi Hirata |
Abstract |
Situs inversus totalis (SIT) denotes complete right-left inversion of the thoracic and abdominal viscera. Diagnosis and surgical procedures for abdominal pathology in patients with SIT are technically more complicated because of mirror-image transposition of the visceral organs. Moreover, SIT is commonly associated with cardiovascular and hepatobiliary malformations, which make hepatobiliary-pancreatic surgery difficult. Two cases of pancreaticoduodenectomy for biliary tract carcinoma in patients with SIT are presented. Both patients had an anomaly of the hepatic artery. Advanced diagnostic imaging techniques were very important for careful preoperative planning and to prevent misunderstanding of the arrangement of the abdominal viscera. This facilitated the surgical team's adaptation to the mirror image of the standard procedure and helped avoid intraoperative complications due to cardiovascular and hepatobiliary malformations associated with SIT. Pancreaticoduodenectomy in patients with SIT can be performed successfully with detailed preoperative assessment, use of effective techniques by the surgeon, and appropriate support by assistants. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 7% |
Unknown | 13 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 2 | 14% |
Student > Master | 2 | 14% |
Student > Doctoral Student | 1 | 7% |
Student > Bachelor | 1 | 7% |
Researcher | 1 | 7% |
Other | 2 | 14% |
Unknown | 5 | 36% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 7 | 50% |
Biochemistry, Genetics and Molecular Biology | 2 | 14% |
Psychology | 1 | 7% |
Unknown | 4 | 29% |