title: Laparoscopy-assisted distal gastrectomy for an early gastric cancer patient with situs inversus totalis.
abstract: Situs inversus totalis (SIT) is a congenital condition in which there is complete right to left reversal of the thoracic and abdominal organs. This report describes laparoscopy-assisted distal gastrectomy (LADG) for an early gastric cancer patient with SIT. The preoperative diagnosis was c-stage IA (cT1a cN0 cH0 cP0 cM0). LADG with D1+ dissection and Billroth-I reconstruction was successfully performed by standing at the opposite position. The operating time was 234 minutes and blood loss was 5 mL. Although a mechanical obstruction occurred after surgery, the patient recovered after re-operation with Roux-en-Y bypass.
authors: 1 Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
authors: Hirohito
authors: H
authors: Fujikawa
authors: Takaki
authors: T
authors: Yoshikawa
authors: Toru
authors: T
authors: Aoyama
authors: Tsutomu
authors: T
authors: Hayashi
authors: Haruhiko
authors: H
authors: Cho
authors: Takashi
authors: T
authors: Ogata
authors: Jyunya
authors: J
authors: Shirai
authors: Takashi
authors: T
authors: Oshima
authors: Norio
authors: N
authors: Yukawa
authors: Yasushi
authors: Y
authors: Rino
authors: Munetaka
authors: M
authors: Masuda
authors: Akira
authors: A
authors: Tsuburaya
mesh_terms: D003952:Diagnostic Imaging; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D012857:Situs Inversus; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*
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