scholarly journals Robotic-assisted proximal gastrectomy using the double-flap technique for early gastric cancer with situs inversus totalis: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Atsushi Takeno ◽  
Toru Masuzawa ◽  
Shinsuke Katsuyama ◽  
Kohei Murakami ◽  
Kenji Kawai ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Situs Inversus ◽  
Autosomal Recessive ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Situs Inversus Totalis ◽  
Upper Body ◽  
Robot Assisted ◽  
Case Presentation ◽  
First Case

Abstract Background The robotic system has been applied in the treatment of gastric cancer (GC), and the procedure has been found to be safe and feasible. Situs inversus totalis (SIT) is a relatively rare autosomal recessive congenital anomaly. We successfully performed robot-assisted proximal gastrectomy (RAPG) and handsewn double-flap esophagogastrostomy for GC in a patient with SIT. Case presentation A 71-year-old woman was referred to us with an asymptomatic ulcerative lesion in the upper body of the stomach. Computed tomography revealed that she had SIT. She was diagnosed with cT1bN0M0, cStageIA gastric cancer. RAPG with lymph node dissection and handsewn double-flap esophagogastrostomy was performed. Robotic surgery enabled the surgeon to perform the surgery without changing his position and experiencing any confusion resulting from the patient’s reversed anatomy. It took 448 min, and no intraoperative complications occurred. Her postoperative course was uneventful; she was discharged on postoperative day 10. The final pathologic report showed pT1b1N0M0, pStage IA. Conclusions This is the first case describing RAPG with handsewn double-flap esophagogastrostomy for a SIT patient with early GC.

scholarly journals Simplified Technique of Conventional Cholecystectomy in a Patient with Situs Inversus Totalis: A Case Report from Nepal

2022 ◽  
Vol 19 (1) ◽  
pp. 109-110
Author(s):  
Suresh Kumar Nag
Keyword(s):  
Situs Inversus ◽  
Autosomal Recessive ◽  
Autosomal Recessive Disorder ◽  
Situs Inversus Totalis ◽  
Gallbladder Stone ◽  
Case Presentation ◽  
Obese Female ◽  
Normal Gallbladder ◽  
Upper Abdominal ◽  
Left Subcostal Incision

Introduction: Situs inversus is a rare autosomal recessive disorder occurring in 1:5,000 to 1:20,000 indiviuals. Cholecystectomy is a standard treatment for symptomatic gallbladder stone. We report a case of cholelithiasis in patient with inversus totalis who underwent cholecystectomy. Case presentation: A 48 years old obese female patient with dextrocardia and hypertention presented with a recurrent left upper abdominal pain for two years. Ultrasound abdomen showed gallbladder stone. Conventional cholecystectomy was done with a small left subcostal incision. The postoperative period was uneventful and the patient was discharged on 3rd post operative day. Conclusion: Cholecystectomy is the treatment of choice in patients with a left sided gallbladder stone, like in normal gallbladder and it is safe.

scholarly journals Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient

2012 ◽  
Vol 82 (5) ◽  
pp. 321 ◽  
Author(s):  
Hong Beom Kim ◽  
Ju Hee Lee ◽  
Do Joong Park ◽  
Hyuk-Joon Lee ◽  
Hyung-Ho Kim ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Situs Inversus ◽  
Distal Gastrectomy ◽  
Situs Inversus Totalis ◽  
Robot Assisted

scholarly journals Laparoscopic-assisted total gastrectomy for early gastric cancer with situs inversus totalis: report of a first case

BMC Surgery ◽  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Mamoru Morimoto ◽  
Tetsushi Hayakawa ◽  
Hidehiko Kitagami ◽  
Moritsugu Tanaka ◽  
Yoichi Matsuo ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
First Case ◽  
Laparoscopic Assisted

Jalili syndrome presenting with situs inversus totalis and keratoconus: the first case in the Indian subcontinent

2015 ◽  
Vol 120 (5) ◽  
pp. e210-e218 ◽  
Author(s):  
Parth Purwar ◽  
Sagar Sareen ◽  
Kishlay Bhartiya ◽  
Sayyed Rayyan Sayed Inayatullah ◽  
Mayank Bansal ◽  
...  
Keyword(s):  
Situs Inversus ◽  
Indian Subcontinent ◽  
Situs Inversus Totalis ◽  
First Case

scholarly journals Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report

2018 ◽  
Vol 06 (05) ◽  
pp. E625-E629
Author(s):  
Youichi Miyaoka ◽  
Shinsuke Suemitsu ◽  
Aya Fujiwara ◽  
Satoshi Kotani ◽  
Kosuke Tsukano ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Endoscopic Submucosal Dissection ◽  
Situs Inversus ◽  
Gastric Fluid ◽  
Situs Inversus Totalis ◽  
Endoscopic View ◽  
Submucosal Dissection ◽  
The Right ◽  
Lesser Curvature

Abstract Background and study aims A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position, the lesion was hidden by blood and gastric fluid because it was located on the gravitational side. Therefore, we decided to perform ESD with the patient in the right lateral decubitus position and use an inverted overtube, which provided a good endoscopic view without the need to rearrange the endoscopist, assistants, or endoscopic system. ESD was safe and feasible using the inverted overtube.

scholarly journals Laparoscopy-Assisted Distal Gastrectomy for an Early Gastric Cancer Patient With Situs Inversus Totalis

2013 ◽  
Vol 98 (3) ◽  
pp. 266-270 ◽  
Author(s):  
Hirohito Fujikawa ◽  
Takaki Yoshikawa ◽  
Toru Aoyama ◽  
Tsutomu Hayashi ◽  
Haruhiko Cho ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Cancer Patient ◽  
Gastric Cancer Patient ◽  
Situs Inversus ◽  
Distal Gastrectomy ◽  
Operating Time ◽  
Situs Inversus Totalis ◽  
Billroth I ◽  
Billroth I Reconstruction

Abstract Situs inversus totalis (SIT) is a congenital condition in which there is complete right to left reversal of the thoracic and abdominal organs. This report describes laparoscopy-assisted distal gastrectomy (LADG) for an early gastric cancer patient with SIT. The preoperative diagnosis was c-stage IA (cT1a cN0 cH0 cP0 cM0). LADG with D1+ dissection and Billroth-I reconstruction was successfully performed by standing at the opposite position. The operating time was 234 minutes and blood loss was 5 mL. Although a mechanical obstruction occurred after surgery, the patient recovered after re-operation with Roux-en-Y bypass.

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