Minimally invasive surgeries for hepatic echinococcosis in patients with situs inversus totalis: Two case reports

This is the authors' abstract. We don't add key points for this paper.

BACKGROUNDSitus inversus totalis (SIT), also known as "mirror-image anatomy", is a rare congenital malformation with complete mirror reversal of all abdominal and thoracic viscera, which drastically increases the difficulty of surgery due to altered anatomical landmarks and operative orientation.Hepatic echinococcosis is a rare zoonotic parasitic liver disease, and complete pericystectomy remains the gold standard for radical treatment.The coexistence of SIT and hepatic echinococcosis creates dual surgical challenges, and that have never been reported globally. CASE SUMMARYWe report two cases of minimally invasive surgeries for hepatic echinococcosis in patients with SIT: One was remote robotic-assisted hepatic hydatid cyst resection, and the other was pure laparoscopic complete pericystectomy of hepatic echinococcosis.The both procedures were successfully completed with favorable perioperative outcomes.Our report elaborate on the key technical difficulties, individualized operative strategies, and innovative clinical value of the minimally invasive approaches for SIT patients. CONCLUSIONThis report provides practical references for the diagnosis and surgical management of hepatic echinococcosis in patients with SIT.