{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:50:43Z","timestamp":1792659043994,"version":"4.5.0"},"reference-count":24,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,15]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>A 70-year-old healthy male individual offered to undergo a living donor hand-assisted laparoscopic nephrectomy to enable kidney transplantation for a close relative. As required for all living transplant donor candidates, extensive screening was performed to exclude potential contraindications for donation. Tests revealed a situs inversus totalis, meaning a complete transposition of the thoracic and abdominal organs in the sagittal plane. As other contraindications for living kidney donation were absent, the feasibility of this procedure was determined multidisciplinary. A successful donation procedure was performed without surgical complications for the donor and good short-term transplant outcomes. In line with current developments that have resulted in more liberal criteria for potential living kidney donors, major anatomical deviations should not automatically be a contraindication. With multidisciplinary efforts and thorough surgical preparation at a high-volume transplant centre, this procedure is feasible and safe.<\/jats:p>","DOI":"10.1136\/bcr-2019-233523","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T04:35:19Z","timestamp":1579754119000},"page":"e233523","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Living donor hand-assisted laparoscopic nephrectomy in a healthy individual with situs inversus totalis: no need to turn down the donor"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3266-9246","authenticated-orcid":false,"given":"Stan","family":"Benjamens","sequence":"first","affiliation":[{"name":"Surgery, Universitair Medisch Centrum Groningen, Groningen, Netherlands"},{"name":"Medical Imaging Center, Universitair Medisch Centrum Groningen, Groningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar Alice Johanne","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Surgery, Universitair Medisch Centrum Groningen, Groningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan Fr\u00e9d\u00e9ric Michel","family":"Lange","sequence":"additional","affiliation":[{"name":"Surgery, Universitair Medisch Centrum Groningen, Groningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Alexander","family":"Pol","sequence":"additional","affiliation":[{"name":"Surgery, Universitair Medisch Centrum Groningen, Groningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,22]]},"reference":[{"key":"2025082712280970000_13.1.e233523.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62484-3"},{"key":"2025082712280970000_13.1.e233523.2","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1097\/TP.0000000000001769","article-title":"KDIGO clinical practice guideline on the evaluation and care of living kidney donors","volume":"101","author":"Lentine","year":"2017","journal-title":"Transplantation"},{"key":"2025082712280970000_13.1.e233523.3","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.1851","article-title":"Assessment of Postdonation outcomes in US living kidney donors using publicly available data sets","volume":"2","author":"Chen","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2025082712280970000_13.1.e233523.4","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11220918"},{"key":"2025082712280970000_13.1.e233523.5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.237"},{"key":"2025082712280970000_13.1.e233523.6","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.156"},{"key":"2025082712280970000_13.1.e233523.7","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1002\/bjs.11127","article-title":"Chronic pain after hand-assisted laparoscopic donor nephrectomy","volume":"106","author":"Zorgdrager","year":"2019","journal-title":"Br J Surg"},{"key":"2025082712280970000_13.1.e233523.8","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12434"},{"key":"2025082712280970000_13.1.e233523.9","doi-asserted-by":"crossref","unstructured":"Horvat LD , Shariff SZ , Garg AX . Global trends in the rates of living kidney donation. Kidney Int : 2009.","DOI":"10.1038\/ki.2009.20"},{"key":"2025082712280970000_13.1.e233523.10","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2004100824"},{"key":"2025082712280970000_13.1.e233523.11","doi-asserted-by":"crossref","first-page":"41","DOI":"10.5489\/cuaj.216","article-title":"Evaluating potential live-renal donors: causes for rejection, deferral and planned procedure type, a single-centre experience","volume":"7","author":"Perlis","year":"2013","journal-title":"Can Urol Assoc J"},{"key":"2025082712280970000_13.1.e233523.12","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199508270-00003"},{"key":"2025082712280970000_13.1.e233523.13","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e318247a7b7"},{"key":"2025082712280970000_13.1.e233523.14","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12599"},{"key":"2025082712280970000_13.1.e233523.15","doi-asserted-by":"crossref","DOI":"10.1111\/ctr.13408","article-title":"Outcomes for individuals turned down for living kidney donation","volume":"32","author":"Reese","year":"2018","journal-title":"Clin Transplant"},{"key":"2025082712280970000_13.1.e233523.16","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3181a53562"},{"key":"2025082712280970000_13.1.e233523.17","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"2025082712280970000_13.1.e233523.18","doi-asserted-by":"crossref","unstructured":"Sharma S , Totalis SI . Situs Inversus Totalis (Dextroversion) - An Anatomical Study. Anat Physiol 2012;02.doi:10.4172\/2161-0940.1000112","DOI":"10.4172\/2161-0940.1000112"},{"key":"2025082712280970000_13.1.e233523.19","doi-asserted-by":"crossref","first-page":"303","DOI":"10.4103\/iju.IJU_82_19","article-title":"Complete situs inversus \u2013 is it a contraindication for organ donation?","volume":"35","author":"Sonawane","year":"2019","journal-title":"Indian J Urol"},{"key":"2025082712280970000_13.1.e233523.20","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1089\/cren.2016.0045","article-title":"Hand-Assisted laparoscopic donor nephrectomy in complete situs inversus","volume":"2","author":"Gahagan","year":"2016","journal-title":"J Endourol Case Rep"},{"key":"2025082712280970000_13.1.e233523.21","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.ijscr.2016.03.035","article-title":"Hand-assisted robotic right donor nephrectomy in patient with total situs inversus: a case report","volume":"23","author":"Gonzalez-Heredia","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025082712280970000_13.1.e233523.22","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.jecm.2010.10.005","article-title":"Living-Related donor nephrectomy in a patient with complete situs inversus","volume":"2","author":"Hoffmann","year":"2010","journal-title":"J Exp Clin Med"},{"key":"2025082712280970000_13.1.e233523.23","doi-asserted-by":"crossref","DOI":"10.1097\/01.TP.0000071361.98583.43","article-title":"Hand-assisted laparoscopic right-donor nephrectomy in a patient with situs inversus","volume":"76","author":"Black","year":"2003","journal-title":"Transplantation"},{"key":"2025082712280970000_13.1.e233523.24","doi-asserted-by":"crossref","first-page":"195","DOI":"10.6002\/ect.2012.0098","article-title":"Total laparoscopic donor nephrectomy in situs inversus totalis: a case report","volume":"11","author":"Berber","year":"2013","journal-title":"Exp Clin Transplant"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:28:22Z","timestamp":1756322902000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,22]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-233523"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233523","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}