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Robotic‐assisted total gastrectomy in a patient with gastric cancer associated with situs inversus totalis: With video
Author(s) -
Yoshimoto Toshiaki,
Yoshikawa Kozo,
Tokunaga Takuya,
Nishi Masaaki,
Takasu Chie,
Kashihara Hideya,
Nakasu Chiharu,
Shimada Mitsuo
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12860
Subject(s) - medicine , situs inversus , gastrectomy , surgery , dissection (medical) , cancer , lymph node , adenocarcinoma , port (circuit theory) , general surgery , electrical engineering , engineering
Situs inversus totalis (SIT) refers to an inverted position of the major visceral organ as a “mirror image” of the regular location. We present a video of a robotic‐assisted total gastrectomy in a 84‐year‐old man with SIT. The patient was diagnosed with advanced gastric cancer in the U region. The port placement was done as mirror images of our usual settings. Lymph node dissection was performed with a completely reverse approach to the usual procedure. After total gastrectomy, an intracorporal esophagojejunostomy was performed by circular method. All procedures were performed safely with no intraoperative complications and the patient was discharged uneventfully. Pathological diagnosis confirmed moderately differentiated adenocarcinoma and the depth of invasion was to the subserosa; there were five metastatic lymph nodes. In patients who have gastric cancer with SIT, a robotic‐assisted total gastrectomy can be performed safely without surgical complication. Robots are useful for performing a total gastrectomy in SIT.