Laparoscopy-Assisted Distal Gastrectomy for an Early Gastric Cancer Patient With Situs Inversus Totalis

被引:24
作者
Fujikawa, Hirohito [1 ]
Yoshikawa, Takaki [1 ]
Aoyama, Toru [1 ]
Hayashi, Tsutomu [1 ]
Cho, Haruhiko [1 ]
Ogata, Takashi [1 ]
Shirai, Jyunya [1 ]
Oshima, Takashi [2 ]
Yukawa, Norio [2 ]
Rino, Yasushi [2 ]
Masuda, Munetaka [2 ]
Tsuburaya, Akira [1 ]
机构
[1] Kanagawa Canc Ctr, Dept Gastrointestinal Surg, Yokohama, Kanagawa 2418515, Japan
[2] Yokohama City Univ Med, Dept Surg, Yokohama, Kanagawa, Japan
关键词
Situs inversus; Laparoscopy; Stomach neoplasm; Minimal blood loss; LYMPH-NODE DISSECTION; FEASIBILITY; SAFETY; TRIAL;
D O I
10.9738/INTSURG-D-13-00054.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Situs inversus totalis (SIT) is a congenital condition in which there is complete right to left reversal of the thoracic and abdominal organs. This report describes laparoscopy-assisted distal gastrectomy (LADG) for an early gastric cancer patient with SIT. The preoperative diagnosis was c-stage IA (cT1a cN0 cH0 cP0 cM0). LADG with D1+ dissection and Billroth-I reconstruction was successfully performed by standing at the opposite position. The operating time was 234 minutes and blood loss was 5 mL. Although a mechanical obstruction occurred after surgery, the patient recovered after reoperation with Roux-en-Y bypass.
引用
收藏
页码:266 / 270
页数:5
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