title: Laparoscopy-assisted distal gastrectomy for advanced gastric cancer with situs inversus totalis: A case report.
abstract: Situs inversus totalis (SIT) is a rare anomaly in which the abdominal and thoracic cavity structures are located opposite to their usual positions. Occasionally, patients with this condition are diagnosed with malignant tumors. We report a case of a 60-year-old woman with gastric cancer and SIT. Laparoscopy-assisted distal gastrectomy (LADG) with D2 lymph node dissection and Billroth II anastomosis were performed successfully on the patient by careful consideration of the mirror-image anatomy. The operation required 230 min, and no intraoperative complications occurred. The final pathological report was pT4aN0M0, according to the American Joint Committee on Cancer 7(th) edition staging guidelines. The postoperative course was favorable, and the patient was discharged on postoperative day 8. We believe that this is the first case of LADG with D2 lymphadenectomy reported in a SIT patient with advanced gastric cancer.
authors.affiliation: Min-Feng Ye, Feng Tao, Guan-Gen Xu, Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing 312000, Zhejiang Province, China.
authors.forename: Min-Feng
authors.initials: MF
authors.lastname: Ye
authors.affiliation: Min-Feng Ye, Feng Tao, Guan-Gen Xu, Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing 312000, Zhejiang Province, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Tao
authors.affiliation: Min-Feng Ye, Feng Tao, Guan-Gen Xu, Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing 312000, Zhejiang Province, China.
authors.forename: Guan-Gen
authors.initials: GG
authors.lastname: Xu
authors.affiliation: Min-Feng Ye, Feng Tao, Guan-Gen Xu, Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing 312000, Zhejiang Province, China.
authors.forename: Ai-Jing
authors.initials: AJ
authors.lastname: Sun
mesh_terms: D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005763:Gastroenterostomy; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009367:Neoplasm Staging; D061646:Operative Time; D012857:Situs Inversus / Q000150:complications* / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Gastric cancer; Laparoscopic surgery; Laparoscopy-assisted gastrectomy; Lymph node dissection; Situs inversus totalis