Vol 13: Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report.Report as inadecuate



 Vol 13: Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report.


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This article is from Journal of Gastric Cancer, volume 13.AbstractWe report our experience with two cases of situs inversus totalis, both involving patients diagnosed with gastric cancer. These were a 52-year-old male with a preoperative staging of cT1bN0M0 and a 68-year-old male with a staging of cT2N0M0, both of whom underwent surgery. The former was found to have vascular anomalies in the preoperative computed tomography, so we performed a computed tomography angiography with three-dimensional reconstruction. Laparoscopy-assisted distal gastrectomy with Billroth I anastomosis was performed with D1+ lymph node dissection, and a small laparotomy was made for extracorporeal anastomosis. In contrast, the latter case showed no vascular anomalies in the preoperative computed tomography, and totally laparoscopic distal gastrectomy with delta anastomosis was performed with D1+ lymph node dissection. There were no intraoperative problems in either patient and they were discharged without postoperative complications. Histopathological examination revealed a poorly differentiated adenocarcinoma pT2N0M0 and a well-differentiated adenocarcinoma pT1aN0M0, respectively.



Author: Min, Sa-Hong; Lee, Chang-Min; Jung, Heon-Jin; Lee, Kyung-Goo; Suh, Yun-Suhk; Shin, Chung-Il; Kim, Hyung-Ho; Yang, Han-Kwang

Source: https://archive.org/







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