Laparoscopic-assisted total gastrectomy for early gastric cancer with situs inversus totalis: report of a first case

BMC Surgery

Hiromitsu Takeyama²  Yoichi Matsuo²  Moritsugu Tanaka¹  Hidehiko Kitagami¹  Tetsushi Hayakawa¹  Mamoru Morimoto¹ 

[1] Department of Surgery, Kariya Toyota General Hospital, Kariya, Japan;Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-cho, Mizuhoku, Nagoya 467-8601, Japan

关键词: Laparoscopic-assisted total gastrectomy;    Gastric cancer;    Situs inversus totalis;   

Others  :  1215944
DOI  :  10.1186/s12893-015-0059-4

 received in 2014-12-06, accepted in 2015-05-26,  发布年份 2015

【 摘 要 】

Background

Situs inversus totalis is a relatively rare condition and is an autosomal recessive congenital defect in which an abdominal and/or thoracic organ is positioned as a “mirror image” of the normal position in the sagittal plane. We report our experience of laparoscopic-assisted total gastrectomy with lymph node dissection performed for gastric cancer in a patient with situs inversus totalis.

Case presentation

A 58-year-old male was diagnosed with cT1bN0N0 gastric cancer. There were no vascular anomalies on abdominal angiographic computed tomography with three-dimensional reconstruction. laparoscopic-assisted total gastrectomy was performed with D1+ lymph node dissection, in accordance with the Japanese Gastric Cancer Treatment Guidelines. There were no intraoperative issues, and no postoperative complications.

Conclusions

This was the first report describing laparoscopic-assisted total gastrectomy with the standard typical lymph node dissection in the English literature. We emphasize that the position of trocars and the standing side of the primary surgeon during the lymph node dissection are critical.

【 授权许可】

   
2015 Morimoto et al.

【 图 表 】

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