Evidence map›Paper›PMID 41359259›Full record

ArticleClinical journal of gastroenterology2026

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

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

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marco Colella *Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.
Federico Gaudenzi *Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.ORCID http://orcid.org/0000-0001-8470-4360
Taiga WakabayashiCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan. taiga.wakabayashi@me.com.ORCID http://orcid.org/0000-0002-5074-0205
Yu TeshigaharaCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.
Yusuke NieCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.
Malek AlomariCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.
Kohei MishimaCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.
Go WakabayashiCenter for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, 1-10-10, Kashiwaza, Ageo, Saitama, 362-8588, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Carcinoma, HepatocellularHepatectomyLaparoscopyLiver NeoplasmsNeoplasm Recurrence, LocalRobotic Surgical ProceduresSitus InversusAgedHumansMaleReoperationHepatocellular carcinomaICG fluorescenceLaparoscopic liver resectionRobot-assisted liver surgerySitus inversus totalis

Identifiers

PMID41359259

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.