Laparoscopic distal gastrectomy for advanced gastric cancer with situs inversus totalis: a case report

BACKGROUND: Situs inversus totalis (SIT) is a relatively rare condition, in which the thoracic and abdominal organs are reversed or mirrored from their normal positions. Here, we reported a case of a patient with SIT and advanced gastric cancer with lymph node metastasis who underwent laparoscopic d...

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Detalles Bibliográficos
Autores principales: Fujita, Shunsuke, Etoh, Tsuyoshi, Kono, Yohei, Fujishima, Hajime, Suzuki, Kosuke, Ninomiya, Shigeo, Ueda, Yoshitake, Shiroshita, Hidefumi, Shiraishi, Norio, Inomata, Masafumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512940/
https://www.ncbi.nlm.nih.gov/pubmed/36163524
http://dx.doi.org/10.1186/s40792-022-01532-4
Descripción
Sumario:BACKGROUND: Situs inversus totalis (SIT) is a relatively rare condition, in which the thoracic and abdominal organs are reversed or mirrored from their normal positions. Here, we reported a case of a patient with SIT and advanced gastric cancer with lymph node metastasis who underwent laparoscopic distal gastrectomy (LDG). CASE PRESENTATION: A 67-year-old man with SIT was clinically diagnosed with T3N2M0 advanced gastric cancer located in the middle gastric body. Three-dimensional reconstruction of computed tomography angiogram revealed that the common hepatic artery originated from the superior mesenteric artery. The patient underwent LDG with D2 lymph node dissection and Roux-en-Y reconstruction. The postoperative course was uneventful. CONCLUSION: This case report showed that LDG could be safely performed on a patient even under complex conditions, such as advanced gastric cancer with lymph node metastasis with SIT and vascular anomalies.

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