Laparoscopy-assisted distal gastrectomy for early gastric cancer and laparoscopic cholecystectomy for gallstone with situs inversus totalis: a case report

Abstract

We report our case of laparoscopy-assisted distal gastrectomy with D1 + β lymph node dissection for a patient with early gastric cancer and laparoscopic cholecystectomy for gallstone with situs inversus totalis. A superficial elevated lesion was found on the lesser curvature of the antrum. The preoperative diagnosis was cStage IA (cT1, cN0, cH0, cP0, cM0). A 1 cm-sized gallstone was found in the fundus through upper abdominal ultrasound. A laparoscopy-assisted distal gastrectomy with standard D2 lymph node dissection for early gastric cancer and laparoscopic cholecystectomy was successfully performed by not shifting the monitor to the left and right and not changing operator's position without additional blood loss and time. The number of retrieved lymph nodes was 36. We have not found any abnormal course of blood vessels except for the right/left inversion. Billroth I reconstruction was performed through end-to-side anastomosis. Based on a histopathological examination, a 1.5 × 1.5 cm, submucosal (sm3), moderately differentiated adenocarcinoma (pT1, pN0, sH0, sP0, sM0, stage IA) was diagnosed. The postoperative course was favorable and the patient was discharged on postoperative day 7.

Dextrocardia and Situs Inversus with Incomplete Inversion: a Case Report

“…It has been stated that multiple molecules or genes determine laterality and act in a region-or organ-specific manner [10]. Several studies reported about situs inversus totalis that all thoracic and abdominal viscera were completely transposed [2,4,8,[11][12][13][14][15][16]. However, Mano et al (2006) [17] reported that situs inversus with unclearly inverted morphology, neutral laterality (i.e.…”

Specificities of transplantation of kidneys procured from donors with situs inversus totalis: A case report and review of the literature

“…However, the attitude has been changed over the last several years. Few case reports on patients with situs inversus who had underwent cholecystectomy, distal gastrectomy due to the gastric carcinoma using the laparoscopic method, gastrectomy with cholecystectomy, liver resection, splenectomy and lung tumor have been published so far [17][18][19][20][21][22][23][24] .…”

“…It is also associated with other anomalies such as polysplenia, Ivemark-Kartagener syndrome and biliary atresia [11][12][13][14] . Due to a possible onset of complications within the associated anomalies, a particular attention was also paid to it in other surgical interventions, particularly in abdominal surgery [15][16][17][18][19][20][21][22][23] . However, the attitude has been changed over the last several years.…”

Total Laparoscopic Donor Nephrectomy In Situs Inversus Totalis: A Case Report

“…9 Many laparoscopic procedures (eg, cholecystectomy, gastrectomy, colectomy, and splenectomy) have been reported to be performed safely in patients with SIT, despite the fact that there are some technical difficulties owing to mirror image of anatomy. [10][11][12][13][14] We found few articles describing kidney donation in patients with complete situs inversus. Black and associates 15 reported the first case, and they used hand-assisted laparoscopic technique for the right side.…”