Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report

Min, Sa Hong; Lee, Chang Min; Jung, Heon Jin; Lee, Kyung Goo; Suh, Yun Suhk; Shin, Chung Il; Kim, Hyung‐Ho; Yang, Han Kwang

doi:10.5230/jgc.2013.13.4.266

Cited by 26 publications

(25 citation statements)

References 9 publications

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“…Previous studies have reported that the most important and confusing problem is vascular anomaly, and 3‐D‐CT angiography is helpful in resolving this problem . We also discussed the anatomical images obtained from 3‐D‐CT angiography, which showed that the present case had no anomaly of vessels other than complete reversal.…”

Section: Discussionmentioning

confidence: 67%

“…Four cases had clinical stage IA, and one had clinical stage IB disease. D1+ lymph node dissection and Billroth I reconstruction were performed in all five cases (Table ) , which were reported from Asia (three from Japan and two from Korea). Surgeons in these past cases in Japan performed surgery while standing opposite to their normal positions, whereas surgeons in the Korean cases stood in a normal position.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopy‐assisted distal gastrectomy in a case of gastric cancer with situs inversus totalis: a case report

Kigasawa

Takeuchi

Kawakubo

et al. 2016

Asian J Endoscop Surgery

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Situs inversus totalis (SIT) is a rare congenital condition in which abdominal and thoracic organs are transposed from normal positions. Laparoscopy-assisted distal gastrectomy for situs inversus totalis is technically difficult and has rarely been reported. Here, we report the case of man in his 40s with situs inversus totalis and a preoperative diagnosis of stage IA gastric cancer (cT1b, cN0, cM0). We successfully performed laparoscopy-assisted distal gastrectomy with D1+ lymph node dissection and Billroth I reconstruction. To ensure a safe procedure, we evaluated the vessels preoperatively with 3-D CT angiography. Furthermore, we performed the surgery by reversing our surgical positions, using a two-monitor method, and then reconstructing under direct vision through the incision. The surgery was performed with minimal blood loss, and no severe postoperative complications were observed. Histopathological examination revealed poorly to moderately differentiated stage IA (pT1b, pN0, pM0) adenocarcinoma. No recurrence has been observed as of 2 years postoperatively.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Laparoscopy‐assisted distal gastrectomy in a case of gastric cancer with situs inversus totalis: a case report

Kigasawa

Takeuchi

Kawakubo

et al. 2016

Asian J Endoscop Surgery

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“…Therefore, to prevent such intraoperative complications, we carefully analyzed this patient's anomalies in imaging findings and set up a surgical procedure modified for SIT. Min et al reported that 3D reconstruction images of CT are useful in understanding the vascular anatomy of patients with SIT 10 . We utilized 3D-CT images of the stomach and pancreas, as well as those of blood vessels to preoperatively simulate the positional relationships of these organs.…”

Section: Discussionmentioning

confidence: 99%

“…Reports of laparoscopic surgery for gastric cancer are increasing in accordance with good progress in laparoscopic procedures. Recently, seven cases of laparoscopic distal gastrectomy (LDG) for gastric cancer with lymphadenectomy in patients with SIT have been reported [5][6][7][8][9][10][11] . These studies suggest that laparoscopy is useful in surgery for patients with SIT.…”

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confidence: 99%

Totally Laparoscopic Total Gastrectomy in a Patient With Situs Inversus Totalis

Kanaji

Suzuki

Yamamoto

et al. 2016

International Surgery

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Abstract:Introduction: Situs inversus totalis (SIT) is a rare congenital anomaly in which the organs are transposed from the normal to the opposite side. Occasionally, we encounter a patient with a combination of this condition and gastric cancer. Several cases of laparoscopic distal gastrectomy for gastric cancer in such patients have been reported. However, there is no report of totally laparoscopic total gastrectomy (TLTG) for such patients. Case presentation: We present a case of advanced gastric cancer with SIT that was successfully treated by TLTG involving radical lymph node dissection. A 63-year-old woman who presented with hematemesis was admitted to our hospital. She was diagnosed with advanced gastric cancer. Endoscopic findings revealed that tumor invasion was to the depth of the muscularis propria. Computed tomography (CT) showed a lack of lymph node swelling or distant metastasis. She was also diagnosed with SIT (a characteristic of Kartagener syndrome). Total gastrectomy was deemed necessary and we planned laparoscopic surgery. We carefully analyzed the location of abdominal organs from a preoperative examination, including three-dimensional reconstruction images from CT. In this operation, we reversed the normal positions of the surgeon, assistant, nurse, and trocar sites to accomodate the inverted abdominal locations of organs. TLTG was completed safely without any postoperative complications. Conclusion: Three-dimensional reconstruction images from CT and the inverse transposition of our usual intraoperative positions led to a smooth operation. TLTG may Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporationbe not only a minimally invasive but also a useful option for gastric cancer cases exhibiting SIT. Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation

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“…There have been some reports describing surgical procedures in patients with malignancy associated with CSI [ 2 – 6 ]. Several authors have reported difficulties with surgical procedures caused by the distinctive features of CSI, and some have mentioned that preoperative 3D-CT is very useful for assessing the structures of arteries and major organs in patients with CSI [ 5 – 7 ]. In our case, CT showed no major vascular abnormalities.…”

Section: Case Presentationmentioning

confidence: 99%

Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor with complete situs inversus: report of a case

et al. 2015

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We herein report our experience of performing laparoscopic and endoscopic cooperative surgery for a gastrointestinal stromal tumor with complete situs inversus. A 78-year-old man was referred to our department for treatment of a gastric submucosal tumor. Based on chest X-ray and computed tomography (CT) findings, complete situs inversus was also diagnosed. Upper gastrointestinal endoscopy and imaging showed a 45-mm gastric submucosal tumor in the upper stomach near the esophagogastric junction. We performed local resection of the gastric submucosal tumor by laparoscopic and endoscopic cooperative surgery. Pathological examination revealed that the tumor was an intermediate-risk gastrointestinal stromal tumor, and the patient was discharged on postoperative day 12. The patient is still alive without recurrence or any complications 9 months after surgery.

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Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report

Cited by 26 publications

References 9 publications

Laparoscopy‐assisted distal gastrectomy in a case of gastric cancer with situs inversus totalis: a case report

Laparoscopy‐assisted distal gastrectomy in a case of gastric cancer with situs inversus totalis: a case report

Totally Laparoscopic Total Gastrectomy in a Patient With Situs Inversus Totalis

Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor with complete situs inversus: report of a case

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