Laparoscopic distal gastrectomy in a patient with situs inversus totalis: A case report

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

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We report our experience with two cases of situs inversus totalis, both involving patients diagnosed with gastric cancer. These were a 52-year-old male with a preoperative staging of cT1bN0M0 and a 68-year-old male with a staging of cT2N0M0, both of whom underwent surgery. The former was found to have vascular anomalies in the preoperative computed tomography, so we performed a computed tomography angiography with three-dimensional reconstruction. Laparoscopy-assisted distal gastrectomy with Billroth I anastomosis was performed with D1+ lymph node dissection, and a small laparotomy was made for extracorporeal anastomosis. In contrast, the latter case showed no vascular anomalies in the preoperative computed tomography, and totally laparoscopic distal gastrectomy with delta anastomosis was performed with D1+ lymph node dissection. There were no intraoperative problems in either patient and they were discharged without postoperative complications. Histopathological examination revealed a poorly differentiated adenocarcinoma (pT2N0M0) and a well-differentiated adenocarcinoma (pT1aN0M0), respectively.

Original languageEnglish
Pages (from-to)266-272
Number of pages7
JournalJournal of Gastric Cancer
Volume13
Issue number4
DOIs
Publication statusPublished - 2013 Dec 1
Externally publishedYes

    Fingerprint

Keywords

  • Gastric cancer
  • Laparoscopic-assisted gastrectomy
  • Lymph node dissection
  • Situs inversus totalis

ASJC Scopus subject areas

  • Oncology
  • Gastroenterology
  • Cancer Research

Cite this

Min, S. H., Lee, C. M., Jung, H. J., Lee, K. G., Suh, Y. S., Shin, C. I., Kim, H. H., & Yang, H. K. (2013). Laparoscopic distal gastrectomy in a patient with situs inversus totalis: A case report. Journal of Gastric Cancer, 13(4), 266-272. https://doi.org/10.5230/jgc.2013.13.4.266