Left Video-Assisted Thoracoscopic Surgery Esophagectomy in a Patient With Situs Inversus Totalis and Kartagener Syndrome

Peel, John K.; Darling, Gail

doi:10.1016/j.athoracsur.2013.10.058

Cited by 14 publications

(16 citation statements)

References 6 publications

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“…c-VATS was not believed to achieve complete lymph node dissection in the sense of oncology. However, thoracoscopic dissection was documented feasible [15]. The difference in the number of excised lymph nodes between two groups was not statistically significant, which verified the feasibility of c-VATS lymph nodes dissection.…”

Section: Discussionsupporting

confidence: 58%

A Study of Complete Video-Assisted Thoracoscopic Surgery Lobectomy in Treatment of Elderly Patients with Non-Small Cell Lung Cancer: Curative Effect and Impact on Clinical Prognosis

Xue¹,

Wang²,

Zhang³

et al. 2015

Cell Biochem Biophys

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The present study intends to investigate the clinical value of complete video-assisted thoracoscopic surgery (c-VATS) lobectomy in treatment of elderly patients with non-small cell lung cancer (NSCLC). A total of 100 cases of elderly patients with NSCLC admitted in our hospital from March 2012 to March 2014 were enrolled in this study and divided into the research group (n = 50) and control group (n = 50) by random sampling method. All patients in the research group underwent c-VATS lobectomy, while those in the control group underwent conventional lobectomy via thoracotomy. The duration of operation, length of incision, intraoperative blood loss, indwelling time of drainage tube, postoperative complication rate, the number of excised lymph nodes, the time of removing stitches, mean length of stay, and vision analog score (VAS) in two groups were observed and compared. The pulmonary function and arterial blood gas before surgery and six months after surgery in two groups were detected and compared. A regular follow-up study was conducted after surgery. The one-year survival rate in two groups were calculated and compared. The differences in the duration of operation, length of incision, indwelling time of drainage tube, postoperative complication rate, the time of removing stitches, mean length of stay, and VAS score between two groups were statistically significant (all P < 0.05). The postoperative vital capacity, forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1 to FVC ratio, 25 and 75 % of forced expiratory flow, and the degree of decline in maximum ventilatory volume per minute compared to that before surgery in c-VATS group were significantly less than those in conventional thoracotomy group (all P < 0.05). The degree of advance in postoperative partial pressure of arterial oxygen and saturation of arterial oxygen compared to those before surgery, and the degree of decline in partial pressure of arterial carbon dioxide compared to that before surgery were significantly greater than those in conventional thoracotomy group (all P < 0.05). The differences in intraoperative blood loss, the number of excised lymph nodes, and one-year survival rate were not statistically significant (all P > 0.05). VATS lobectomy has advantages of smaller incision in treatment of NSCLC, faster recovery, and better prognosis compared to traditional therapy.

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Section: Discussionsupporting

confidence: 58%

A Study of Complete Video-Assisted Thoracoscopic Surgery Lobectomy in Treatment of Elderly Patients with Non-Small Cell Lung Cancer: Curative Effect and Impact on Clinical Prognosis

Xue¹,

Wang²,

Zhang³

et al. 2015

Cell Biochem Biophys

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“…Mano et al described the vessel structure in SIT patients as follows: 'left (right)-sided' indicates the location, whereas 'left (right)' indicates that the structure displayed the usual left (right) morphology [4]. In our report, we used the same terms as described by Mano et al To our knowledge, six cases of esophagectomy for esophageal cancer with SIT, including the present case, have been reported in the global literature (Table 1) [2,[5][6][7][8]. In the previous reports, thoracoscopic esophagectomy for esophageal cancer with SIT was performed in only three cases.…”

Section: Discussionmentioning

confidence: 91%

“…Furthermore, in these cases, the perioperative course was uneventful (Table 1). Thoracoscopic esophagectomy as well as thoracotomy were performed safely for esophageal cancer with SIT [2,5,8]. It would be possible to select thoracoscopic esophagectomy as a less invasive surgery for esophageal cancer patients with SIT.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic esophagectomy for esophageal cancer with situs inversus totalis: a case report and literature review

Ujiie

Nakano

Kamei

et al. 2016

Gen Thorac Cardiovasc Surg

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A 63-year-old male visited our hospital, complaining of discomfort when swallowing. Upper gastrointestinal endoscopy revealed a type 2 tumor in the middle thoracic esophagus, which was diagnosed as squamous cell carcinoma by endoscopic biopsy. Computed tomography revealed situs inversus totalis (SIT). We assessed the relationship of the esophagus with neighboring organs using preoperative three-dimensional imaging. We performed thoracoscopic esophagectomy with radical lymph node dissection in the right decubitus position and hand-assisted laparoscopic gastric mobilization in the supine position. The definitive diagnosis was squamous cell carcinoma, pT2N1M0, pStage IIB according to the Union for International Cancer Control. The patient's postoperative course was uneventful, and 5 years post-operation, he is alive without recurrence. In SIT patients, surgical procedures are difficult because of anatomic transposition. Three-dimensional imaging effectively assesses the anatomical structure and contributes to safer thoracoscopic esophagectomy for esophageal cancer patients with SIT. Relevant literature is also discussed and reviewed.

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“…However, approximately 20–25% of cases are associated with Kartagener’s syndrome caused by ciliary dyskinesia [8]. Successful thoracoscopic esophagectomy has been reported in patients with SIT accompanied with Kartagener’s syndrome [2]. It is very rare for SIT and polysplenia syndrome to occur in the same patient [9].…”

Section: Discussionmentioning

confidence: 99%

“…Its occurrence makes surgical procedures more challenging owing to the mirror image positioning of organs [1]. There have been few reports of esophagectomy for esophageal cancer associated with SIT in the left decubitus position [1], [2], [3], [4]. However, there has only been a single case report of this disease treated with thoracoscopic esophagectomy, with the patient in the prone position [5].…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic surgery in the prone position for esophageal cancer in patients with situs inversus totalis: A report of two cases

Nakano

Kamei

Onodera

et al. 2017

International Journal of Surgery Case Reports

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IntroductionSitus inversus totalis (SIT) is a rare congenital condition characterized by a complete transposition of thoracic and abdominal organs. Here, we present two successful cases of left thoracoscopic esophagectomy in the prone position for SIT-associated esophageal cancer.Presentation of caseOur first case was of an 82-year-old man who underwent a left thoracoscopic esophagectomy in the prone position, followed by hand-assisted laparoscopic gastric mobilization. Surgical duration and blood loss were 661 min and 165 g, respectively. His postoperative course was uneventful. The second case was of a 66-year-old man who underwent a left thoracoscopic esophagectomy in the prone position, followed by gastric mobilization via laparotomy owing to a concomitant intestinal malrotation and polysplenia. Surgical duration and blood loss were 637 min and 220 g, respectively. We trained for the surgical procedures preoperatively using left-inverted and right-inverted thoracoscopic surgical videos of patients with normal anatomy.DiscussionSurgical procedures in SIT patients are challenging owing to their mirrored anatomy. Recognition　of their　variations　is　thus important to　avoid　intraoperative accidental injuries. Left-inverted and right-inverted thoracoscopic surgical videos of patients with normal anatomy were found to be useful for image training prior to the actual surgery.ConclusionThoracoscopic surgical treatment for esophageal cancer associated with SIT in the prone position can be performed safely, similar to the manner performed for thoracoscopic surgery in the right decubitus position, or surgery via an open thoracotomy. Gastric mobilization via laparotomy should be considered in patients associated other anatomic variations.

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Left Video-Assisted Thoracoscopic Surgery Esophagectomy in a Patient With Situs Inversus Totalis and Kartagener Syndrome

Cited by 14 publications

References 6 publications

A Study of Complete Video-Assisted Thoracoscopic Surgery Lobectomy in Treatment of Elderly Patients with Non-Small Cell Lung Cancer: Curative Effect and Impact on Clinical Prognosis

A Study of Complete Video-Assisted Thoracoscopic Surgery Lobectomy in Treatment of Elderly Patients with Non-Small Cell Lung Cancer: Curative Effect and Impact on Clinical Prognosis

Thoracoscopic esophagectomy for esophageal cancer with situs inversus totalis: a case report and literature review

Thoracoscopic surgery in the prone position for esophageal cancer in patients with situs inversus totalis: A report of two cases

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