Open AccessMinimally invasive Ivor Lewis esophagectomy in a patient with situs inversus totalis through a total of five ports
Author(s) -
Sezer Aslan,
Çağatay Çetinkaya,
Ali Durusoy,
Hasan Fevzi Batırel
Publication year - 2022
Publication title -
türk göğüs kalp damar cerrahisi dergisi :/türk göğüs kalp damar cerrahisi dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.149
H-Index - 10
eISSN - 2149-8156
pISSN - 1301-5680
DOI - 10.5606/tgkdc.dergisi.2022.20476
Subject(s) - medicine , situs inversus , surgery , anastomosis , esophagectomy , dysphagia , port (circuit theory) , malignancy , esophagus , general surgery , esophageal cancer , cancer , electrical engineering , engineering
Situs inversus totalis is inverse placement of intra-thoracic and abdominal organs identical with a mirror image. Herein, we present a rare case of situs inversus totalis and gastroesophageal junction carcinoma treated with minimally invasive Ivor Lewis esophagectomy. A 73-year-old male patient presented with dysphagia and a diagnosis of adenocarcinoma was made. He underwent three-port laparoscopic gastric conduit preparation without using a liver retractor. Esophageal mobilization in the chest was completed with biportal video-assisted thoracoscopic surgery technique and a completely side-to-side stapled anastomosis. The patient is still alive without recurrence four years after surgery. Minimally invasive Ivor Lewis esophagectomy can be performed in these cases; however, a careful planning and rethinking of the anatomy for correct intraoperative orientation are needed. Similar surgical and oncological outcomes are expected in this patient population.