Laparoscopy Assisted Subtotal Gastrectomy in Gastric Cancer Patient with Situs Inversus in Korea.
10.4174/jkss.2010.79.6.513
- Author:
Byung Hee KANG
1
;
Sang Lim LEE
;
Hoon HUR
;
Jun Young KIM
;
Yong Kwan CHO
;
Sang Uk HAN
Author Information
1. Department of Surgery, Ajou University School of Medicine, Suwon, Korea. hansu@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Situs inversus;
Laparoscopic surgery;
Gastrectomy
- MeSH:
Adenocarcinoma;
Anatomic Variation;
Gastrectomy;
Humans;
Korea;
Laparoscopy;
Lymph Node Excision;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis;
Situs Inversus;
Stomach Neoplasms
- From:Journal of the Korean Surgical Society
2010;79(6):513-517
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Situs inversus totalis is a congenital condition in which there is complete right to left reversal of the thoracic and abdominal organ. According to an increase in minimally invasive treatments, laparoscopic surgery for patients with situs inversus totalis has also been increasing. We performed laparoscopy-assisted subtotal gastrectomy on a 60-year-old gastric cancer patient with situs inversus totalis. He was diagnosed with early stage gastric adenocarcinoma at antrum of the anterior wall. We experienced some technical difficulties because of the position and anatomic variation of major vessels. However, the subtotal gastrectomy was completed with D1+ beta lymph node dissection followed by extracorporeal gastroduodenostomy. The patient was discharged six days after operation without any complications. The pathologic report showed that tumor invasion was limited to the submucosa and one lymph node was positive for metastasis. We believe our experience is the first reported case of laparoscopic gastric cancer surgery for situs inversus in Korea.
