Abstract
Situs inversus totalis (SIT) is a relatively rare condition where the abdominal and/or thoracic organ is positioned as a “mirror image” of the normal position. We are presenting a video of robotic distal gastrectomy performed in a 52-year-old female known to have SIT. Preoperative investigations revealed the patient has an early gastric cancer at the antrum. Ports were placed as mirror image to our usual port placement and upon exploration, the liver is visualized on the left side of the abdomen and the spleen is on the right. Lymph node dissection was performed in a similar approach to conventional robotic distal gastrectomy. After gastric resection, gastroduodenostomy was performed intracorporeally using a linear stapler. The operation took 195 min without intraoperative complications and minimal blood loss of 30 ml. The patient was discharged on postoperative day 5, uneventfully. The final pathology confirmed moderately differentiated adenocarcinoma confined to the mucosa without metastasis in 74 lymph nodes. Robotic distal gastrectomy can be safely performed in patients with situs inversus totalis and has similar surgical outcomes as usual robotic gastrectomy. Robotic technique can help surgeon’s ambidexterity in performing such complex procedures.
| Original language | English |
|---|---|
| Pages (from-to) | 2144-2145 |
| Number of pages | 2 |
| Journal | Journal of Gastrointestinal Surgery |
| Volume | 21 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 2017 Dec 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Gastroenterology
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Robotic Assisted Distal Gastrectomy for Gastric Cancer in a Patient with Situs Inversus Totalis : with Video. / Alhossaini, Rana; Hyung, Woo Jin.
In: Journal of Gastrointestinal Surgery, Vol. 21, No. 12, 01.12.2017, p. 2144-2145.Research output: Contribution to journal › Article
TY - JOUR
T1 - Robotic Assisted Distal Gastrectomy for Gastric Cancer in a Patient with Situs Inversus Totalis
T2 - with Video
AU - Alhossaini, Rana
AU - Hyung, Woo Jin
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Situs inversus totalis (SIT) is a relatively rare condition where the abdominal and/or thoracic organ is positioned as a “mirror image” of the normal position. We are presenting a video of robotic distal gastrectomy performed in a 52-year-old female known to have SIT. Preoperative investigations revealed the patient has an early gastric cancer at the antrum. Ports were placed as mirror image to our usual port placement and upon exploration, the liver is visualized on the left side of the abdomen and the spleen is on the right. Lymph node dissection was performed in a similar approach to conventional robotic distal gastrectomy. After gastric resection, gastroduodenostomy was performed intracorporeally using a linear stapler. The operation took 195 min without intraoperative complications and minimal blood loss of 30 ml. The patient was discharged on postoperative day 5, uneventfully. The final pathology confirmed moderately differentiated adenocarcinoma confined to the mucosa without metastasis in 74 lymph nodes. Robotic distal gastrectomy can be safely performed in patients with situs inversus totalis and has similar surgical outcomes as usual robotic gastrectomy. Robotic technique can help surgeon’s ambidexterity in performing such complex procedures.
AB - Situs inversus totalis (SIT) is a relatively rare condition where the abdominal and/or thoracic organ is positioned as a “mirror image” of the normal position. We are presenting a video of robotic distal gastrectomy performed in a 52-year-old female known to have SIT. Preoperative investigations revealed the patient has an early gastric cancer at the antrum. Ports were placed as mirror image to our usual port placement and upon exploration, the liver is visualized on the left side of the abdomen and the spleen is on the right. Lymph node dissection was performed in a similar approach to conventional robotic distal gastrectomy. After gastric resection, gastroduodenostomy was performed intracorporeally using a linear stapler. The operation took 195 min without intraoperative complications and minimal blood loss of 30 ml. The patient was discharged on postoperative day 5, uneventfully. The final pathology confirmed moderately differentiated adenocarcinoma confined to the mucosa without metastasis in 74 lymph nodes. Robotic distal gastrectomy can be safely performed in patients with situs inversus totalis and has similar surgical outcomes as usual robotic gastrectomy. Robotic technique can help surgeon’s ambidexterity in performing such complex procedures.
UR - http://www.scopus.com/inward/record.url?scp=85029143644&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029143644&partnerID=8YFLogxK
U2 - 10.1007/s11605-017-3576-x
DO - 10.1007/s11605-017-3576-x
M3 - Article
C2 - 28900793
AN - SCOPUS:85029143644
VL - 21
SP - 2144
EP - 2145
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 12
ER -