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Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report

BACKGROUND: Situs inversus (SI) is a rare congenital condition characterized by organ transposition from their normal positions. Careful preoperative planning is important for the safe operation of patients with SI because only a few surgeons have operated on such patients. Here, we report the case...

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Autores principales: Sato, Kei, Yamada, Junki, Meguro, Naohito, Onishi, Hiroshi, Den, Kanechika, Baba, Hiroyuki, Sugita, Mitsutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547042/
https://www.ncbi.nlm.nih.gov/pubmed/36205851
http://dx.doi.org/10.1186/s40792-022-01550-2
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author Sato, Kei
Yamada, Junki
Meguro, Naohito
Onishi, Hiroshi
Den, Kanechika
Baba, Hiroyuki
Sugita, Mitsutaka
author_facet Sato, Kei
Yamada, Junki
Meguro, Naohito
Onishi, Hiroshi
Den, Kanechika
Baba, Hiroyuki
Sugita, Mitsutaka
author_sort Sato, Kei
collection PubMed
description BACKGROUND: Situs inversus (SI) is a rare congenital condition characterized by organ transposition from their normal positions. Careful preoperative planning is important for the safe operation of patients with SI because only a few surgeons have operated on such patients. Here, we report the case of a patient with SI who underwent laparoscopic distal gastrectomy (LDG) with D2 lymph node dissection (LND) for advanced gastric cancer (GC). CASE PRESENTATION: The patient was a 72-year-old man diagnosed with GC. Upper endoscopy revealed a type 3 tumor in the anterior wall of the stomach body. Multidetector computed tomography showed no obvious GC metastasis or inverted organs. The preoperative diagnosis was cStage IIB (i.e., cT3, cN0, and cM0) GC with SI. Although liver retracting and intracorporeal suturing required special attention, LDG with D2 LND and Billroth-I reconstruction were safely performed by reversing the usual procedure. The patient was discharged 10 days after the surgery. CONCLUSIONS: To safely perform laparoscopic surgery for GC in patients with SI, sufficient preoperative preparation is necessary. In particular, a reversible method of liver retraction should be prepared.
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spelling pubmed-95470422022-10-21 Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report Sato, Kei Yamada, Junki Meguro, Naohito Onishi, Hiroshi Den, Kanechika Baba, Hiroyuki Sugita, Mitsutaka Surg Case Rep Case Report BACKGROUND: Situs inversus (SI) is a rare congenital condition characterized by organ transposition from their normal positions. Careful preoperative planning is important for the safe operation of patients with SI because only a few surgeons have operated on such patients. Here, we report the case of a patient with SI who underwent laparoscopic distal gastrectomy (LDG) with D2 lymph node dissection (LND) for advanced gastric cancer (GC). CASE PRESENTATION: The patient was a 72-year-old man diagnosed with GC. Upper endoscopy revealed a type 3 tumor in the anterior wall of the stomach body. Multidetector computed tomography showed no obvious GC metastasis or inverted organs. The preoperative diagnosis was cStage IIB (i.e., cT3, cN0, and cM0) GC with SI. Although liver retracting and intracorporeal suturing required special attention, LDG with D2 LND and Billroth-I reconstruction were safely performed by reversing the usual procedure. The patient was discharged 10 days after the surgery. CONCLUSIONS: To safely perform laparoscopic surgery for GC in patients with SI, sufficient preoperative preparation is necessary. In particular, a reversible method of liver retraction should be prepared. Springer Berlin Heidelberg 2022-10-07 /pmc/articles/PMC9547042/ /pubmed/36205851 http://dx.doi.org/10.1186/s40792-022-01550-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Sato, Kei
Yamada, Junki
Meguro, Naohito
Onishi, Hiroshi
Den, Kanechika
Baba, Hiroyuki
Sugita, Mitsutaka
Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title_full Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title_fullStr Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title_full_unstemmed Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title_short Laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
title_sort laparoscopic distal gastrectomy for gastric cancer in a patient with situs inversus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547042/
https://www.ncbi.nlm.nih.gov/pubmed/36205851
http://dx.doi.org/10.1186/s40792-022-01550-2
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