Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report.
10.5230/jgc.2013.13.4.266
- Author:
Sa Hong MIN
1
;
Chang Min LEE
;
Heon Jin JUNG
;
Kyung Goo LEE
;
Yun Suhk SUH
;
Chung Il SHIN
;
Hyung Ho KIM
;
Han Kwang YANG
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. hkyang@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Situs inversus totalis;
Laparoscopic-assisted gastrectomy;
Gastric cancer;
Lymph node dissection
- MeSH:
Adenocarcinoma;
Aged;
Angiography;
Gastrectomy*;
Gastroenterostomy;
Humans;
Laparotomy;
Lymph Node Excision;
Male;
Middle Aged;
Postoperative Complications;
Situs Inversus*;
Stomach Neoplasms
- From:Journal of Gastric Cancer
2013;13(4):266-272
- CountryRepublic of Korea
- Language:English
-
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.
