title: Laparoscopic sleeve gastrectomy for a super-super-obese patient with situs inversus totalis.
abstract: Situs inversus totalis is a rare defect which can present difficulties in the management in laparoscopic surgery due to the mirror-image anatomy. Herein, we report a patient with situs inversus totalis and super-super-obesity (BMI 76 kg/m2). We performed successful laparoscopic sleeve gastrectomy. Technical details of this operation, with situs inversus totalis, are presented. There were no major difficulties compared to patients with usual anatomy. There are potential diseases associated with situs inversus and obesity; therefore, a careful investigation, including a chest x-ray and cardiac and abdominal ultrasounds should be performed before surgery. Sleeve gastrectomy is an adequate procedure in super-super-obese patients with situs inversus totalis.
authors.affiliation: Bariatric Surgical College of Avicenne Hospital, Assistance Publique, Hôpitaux de Paris, Bobigny, France. jean-marc.catheline@avc.aphp.fr
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Catheline
authors.forename: Caroline
authors.initials: C
authors.lastname: Rosales
authors.forename: Régis
authors.initials: R
authors.lastname: Cohen
authors.forename: Hélène
authors.initials: H
authors.lastname: Bihan
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Fournier
authors.forename: Joël
authors.initials: J
authors.lastname: Roussel
authors.forename: Joseph
authors.initials: J
authors.lastname: Bénichou
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D012857:Situs Inversus / Q000150:complications*