Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient.
10.4174/jkss.2012.82.5.321
- Author:
Hong Beom KIM
1
;
Ju Hee LEE
;
Do Joong PARK
;
Hyuk Joon LEE
;
Hyung Ho KIM
;
Han Kwang YANG
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. djpark@snubh.org
- Publication Type:Case Report
- Keywords:
Situs inversus totalis;
Robot surgery;
Gastric cancer
- MeSH:
Gastrectomy;
Gastroenterostomy;
Humans;
Intraoperative Complications;
Joints;
Lymph Node Excision;
Middle Aged;
Situs Inversus;
Stomach;
Stomach Neoplasms;
Ulcer
- From:Journal of the Korean Surgical Society
2012;82(5):321-324
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 47-year-old man was referred to Seoul National University Bundang Hospital with an ulcerative lesion in the midbody of the stomach. Computed tomography revealed that he was a situs inversus totalis (SIT) patient. Robot-assisted distal gastrectomy with D1+beta lymph node dissection and Billroth II anastomosis were performed. With the aid of robotic surgery, the surgeon didn't need to change his position and could perform the surgery without any confusion resulting from the patient's reversed anatomy. The operation took 300 minutes, with no intraoperative complications. The postoperative course was uneventful, and the patient was discharged on postoperative day 8. The final pathologic report was pT3N3a by American Joint Committee on Cancer 7th tumor-node-metastasis staging. We successfully performed robot-assisted distal gastrectomy for gastric cancer in a SIT patient. We believe that this is the first case of robotic surgery reported in a SIT patient with gastric cancer.
