Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient.

Journal of the Korean Surgical Society
Hong Beom KimHan-Kwang Yang

Abstract

A 47-year-old man was referred to Seoul National University Bundang Hospital with an ulcerative lesion in the midbody of the stomach. Computed tomography revealed that he was a situs inversus totalis (SIT) patient. Robot-assisted distal gastrectomy with D1+β lymph node dissection and Billroth II anastomosis were performed. With the aid of robotic surgery, the surgeon didn't need to change his position and could perform the surgery without any confusion resulting from the patient's reversed anatomy. The operation took 300 minutes, with no intraoperative complications. The postoperative course was uneventful, and the patient was discharged on postoperative day 8. The final pathologic report was pT3N3a by American Joint Committee on Cancer 7th tumor-node-metastasis staging. We successfully performed robot-assisted distal gastrectomy for gastric cancer in a SIT patient. We believe that this is the first case of robotic surgery reported in a SIT patient with gastric cancer.

References

Jun 23, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sami AkbulutYusuf Yagmur
May 17, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·UNKNOWN Japanese Gastric Cancer Association

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Citations

Dec 12, 2012·World Journal of Surgical Oncology·Ke PanYi Liu
Apr 16, 2014·ANZ Journal of Surgery·Dan FalkenbackReginald V N Lord
Jul 6, 2017·Asian Journal of Endoscopic Surgery·Kengo ShibataAkinobu Taketomi
Feb 11, 2014·Journal of Gastric Cancer·Sa-Hong MinHan-Kwang Yang
Jun 1, 2014·Journal of Robotic Surgery·Anji WallWillie Melvin
Sep 3, 2020·Asian Journal of Endoscopic Surgery·Toshiaki YoshimotoMitsuo Shimada

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