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Case Reports
. 2016 Feb;22(2):235-7.
doi: 10.1093/icvts/ivv299. Epub 2015 Nov 3.

Minimally invasive Ivor Lewis oesophagogastrectomy in a patient with situs inversus totalis†

Gopal Singh  1 , Joseph Costa  1 , Marc Bessler  2 , Joshua Sonett  3
Affiliations
Case Reports

Minimally invasive Ivor Lewis oesophagogastrectomy in a patient with situs inversus totalis†

Gopal Singh et al. Interact Cardiovasc Thorac Surg. 2016 Feb.

Abstract

Situs inversus totalis (SIT) is a rare congenital condition in which the internal organs of the thoracic and abdominal cavities experience a right-to-left reflection across the sagittal plane. We describe a case of locally advanced adenocarcinoma of the oesophagus treated with minimally invasive oesophagectomy using a laparoscopic and left video-assisted thoracoscopic surgery approach in a patient with situs inversus totalis.

Keywords: Adenocarcinoma oesophagus; Oesophagogastrectomy; Situs inversus totalis.

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Figures

Figure 1:
Figure 1:
(A) Chest X-ray showing dextrocardia with a right aortic arch; (B) coronal CT scan showing situs inversus totalis. CT: computed tomography.
Figure 2:
Figure 2:
(A) Postoperative endoscopy showing patent anastomosis; (B) thorascopic image of side-to-side anastomosis while stapling; (C) thoracoscopic image of completed side-to-side anastomosis.
See this image and copyright information in PMC

References

    1. Schmutzer PV. Situs inversus totalis associated with complex cardiovascular anomalies. Am Heart J 1958;56:761. - PubMed
    1. Osugi H, Takemura M, Lee S, Nishikawa T, Fukuhara K, Iwasaki H, et al. Thoracoscopic esophagectomy for intrathoracic esophageal cancer. Ann Thorac Cardiovasc Surg 2005;11:221–7. - PubMed
    1. Yoshida T, Usui S, Inoue H, Kudo SE. The management of esophageal cancer with situs inversus totalis by simultaneous hand-assisted laparoscopic gastric mobilization and thoracoscopic esophagectomy. J Laparoendosc Adv Surg Tech A 2004;14:384–9. - PubMed
    1. Futawatari N, Kikuchi S, Moriya H, Katada N, Sakuramoto S, Watanabe M. Laparoscopy-assisted distal gastrectomy for early gastric cancer with complete situs inversus: report of a case. Surg Today 2010;40:64. - PubMed
    1. Fujiwara Y, Fukunaga Y, Higashino M, Tanimura S, Takemura M, Tanaka Y, et al. Laparoscopic hemicolectomy in a patient with situs inversus totalis. World J Gastroenterol 2007;13:5035. - PMC - PubMed

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