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

BMC Surgery

Case Report

Yoichi Matsuo¹  Hiromitsu Takeyama¹  Tetsushi Hayakawa²  Hidehiko Kitagami²  Mamoru Morimoto²  Moritsugu Tanaka² 

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

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

DOI  :  10.1186/s12893-015-0059-4

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

来源: Springer

【 摘 要 】

BackgroundSitus 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 presentationA 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.ConclusionsThis 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】

Unknown   
© Morimoto et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.