Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	126075
DOI	10.4240/wjgs.126075
Country	China

Category	Surgery
Manuscript Type	Case Report
Article Title	Transvaginal natural orifice specimen extraction after subtotal colectomy in situs inversus totalis with slow-transit constipation: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Si-Yuan Wang, Wei Wang, Xin Liu and Yang Yang
Funding Agency and Grant Number	Funding Agency Grant Number Luoyang Science and Technology Program 2401174B the 989th Hospital Research Project Program 9892023YNKT-08B
Corresponding Author	Yang Yang, Full Professor, Department of General Surgery, The 989th Hospital of the Joint Logistic Support Force of PLA, No. 2 Huaxia West Road, Luoyang 471031, Henan Province, China. yy_989@126.com
Key Words	Natural orifice specimen extraction surgery; Slow transit constipation; Situs inversus totalis; Subtotal colectomy; Case report
Core Tip	This case describes laparoscopic subtotal colectomy with transvaginal natural orifice specimen extraction in a patient with situs inversus totalis and refractory slow-transit constipation. The main technical lessons include careful preoperative recognition of mirror-image anatomy, mirror-adapted trocar placement, dynamic surgeon repositioning, and meticulous identification of reversed vascular and organ anatomy. Because this is a single case and complete anorectal physiology testing was not performed, the procedure should be interpreted as technically feasible only in carefully selected patients.
Citation	Wang SY, Wang W, Liu X, Yang Y. Transvaginal natural orifice specimen extraction after subtotal colectomy in situs inversus totalis with slow-transit constipation: A case report. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.126075
PDF	126075-in-press.pdf

Received	2026-07-24 07:55
Peer-Review Started	2026-07-24 07:55
First Decision by Editorial Office Director
Return for Revision	2026-08-21 08:31
Revised	2026-08-30 21:38
Publication Fee Transferred	2026-09-09 03:02
Second Decision by Editor	2026-09-18 02:48
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-09-18 10:40
Articles in Press	2026-09-18 10:40
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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