Retrograde ( Fundus First ) Laparoscopic Cholecystectomy in Situs Inversus Totalis = إستئصال المرارة العكسي بالمنظار الجراحي في حالة إنعكاس وضع الأحشاء الكلي

Gastric Cancer With Situs Inversus Totalis: A Case Report With More Than Five Years of Follow-Up

“…In SIT patients, both open and minimally invasive gastrectomy procedures have been performed successfully with a very low rate of postoperative complications, especially if they were performed in high-volume centers by very experienced surgeons [ 14 , 18 ]. If a laparoscopic approach is chosen, the different ports should be positioned at mirror image sites of those in the usual patients [ 7 ]. The dissection process was reported to be difficult for right-handed surgeons [ 7 ], and a decision to convert to open surgery should be carried out if the surgeon is not fully at ease with completing it laparoscopically.…”

“…If a laparoscopic approach is chosen, the different ports should be positioned at mirror image sites of those in the usual patients [ 7 ]. The dissection process was reported to be difficult for right-handed surgeons [ 7 ], and a decision to convert to open surgery should be carried out if the surgeon is not fully at ease with completing it laparoscopically. Of note, the operative time and the hospital stay were comparable between laparoscopic and robotic procedures, but robotic gastrectomy procedures caused less bleeding.…”

“…Here, we present a case of gastric cancer and highlight the challenges faced by the surgical team in the removal of such cancer in SIT patients. In the literature, seven case reports could be found that described operations in adult SIT patients in Saudi Arabia with five reports describing cholecystectomies [5][6][7][8][9] and two reports describing bariatric surgeries [10,11], making this case report the first describing gastrectomy -and the first oncological procedure -in SIT patients in Saudi Arabia and the Gulf Cooperation Council (GCC) countries.…”