Robotic-assisted total gastrectomy in a patient with gastric cancer associated with situs inversus totalis: With video.
robotic total gastrectomy
situs inversus totalis
surgical tip
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
11
06
2020
received:
12
05
2020
accepted:
12
08
2020
pubmed:
3
9
2020
medline:
20
8
2021
entrez:
3
9
2020
Statut:
ppublish
Résumé
Situs inversus totalis (SIT) refers to an inverted position of the major visceral organ as a "mirror image" of the regular location. We present a video of a robotic-assisted total gastrectomy in a 84-year-old man with SIT. The patient was diagnosed with advanced gastric cancer in the U region. The port placement was done as mirror images of our usual settings. Lymph node dissection was performed with a completely reverse approach to the usual procedure. After total gastrectomy, an intracorporal esophagojejunostomy was performed by circular method. All procedures were performed safely with no intraoperative complications and the patient was discharged uneventfully. Pathological diagnosis confirmed moderately differentiated adenocarcinoma and the depth of invasion was to the subserosa; there were five metastatic lymph nodes. In patients who have gastric cancer with SIT, a robotic-assisted total gastrectomy can be performed safely without surgical complication. Robots are useful for performing a total gastrectomy in SIT.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
297-300Informations de copyright
© 2020 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
Références
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Cao Y, Li J, Shen L, et al. Gastric cancer in a situs inversus totalis patient with multiple intestinal and vessel variations related to gastrectomy surgery: a case report and literature review. Medicine. 2017;96(39):e8209.
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