Robotic Assisted Distal Gastrectomy for Gastric Cancer in a Patient with Situs Inversus Totalis: with Video

Rana Alhossaini, Woo Jin Hyung

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)2144-2145
Number of pages2
JournalJournal of Gastrointestinal Surgery
Volume21
Issue number12
DOIs
Publication statusPublished - 2017 Dec 1

Fingerprint

Situs Inversus
Robotics
Gastrectomy
Stomach Neoplasms
Functional Laterality
Intraoperative Complications
Lymph Node Excision
Abdomen
Stomach
Mucous Membrane
Adenocarcinoma
Thorax
Spleen
Lymph Nodes
Pathology
Neoplasm Metastasis
Liver

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

@article{2e0e1629734949f3b61d9a24fea398a4,
title = "Robotic Assisted Distal Gastrectomy for Gastric Cancer in a Patient with Situs Inversus Totalis: with Video",
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.",
author = "Rana Alhossaini and Hyung, {Woo Jin}",
year = "2017",
month = "12",
day = "1",
doi = "10.1007/s11605-017-3576-x",
language = "English",
volume = "21",
pages = "2144--2145",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "12",

}

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 journalArticle

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 -