Laparoscopic Distal Gastrectomy in a Patient with Situs Inversus Totalis: A Case Report
Journal of Gastric Cancer
;
: 266-272, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-199445
ABSTRACT
We report our experience with two cases of situs inversus totalis, both involving patients diagnosed with gastric cancer. These were a 52-year-old male with a preoperative staging of cT1bN0M0 and a 68-year-old male with a staging of cT2N0M0, both of whom underwent surgery. The former was found to have vascular anomalies in the preoperative computed tomography, so we performed a computed tomography angiography with three-dimensional reconstruction. Laparoscopy-assisted distal gastrectomy with Billroth I anastomosis was performed with D1+ lymph node dissection, and a small laparotomy was made for extracorporeal anastomosis. In contrast, the latter case showed no vascular anomalies in the preoperative computed tomography, and totally laparoscopic distal gastrectomy with delta anastomosis was performed with D1+ lymph node dissection. There were no intraoperative problems in either patient and they were discharged without postoperative complications. Histopathological examination revealed a poorly differentiated adenocarcinoma (pT2N0M0) and a well-differentiated adenocarcinoma (pT1aN0M0), respectively.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Situs Inversus
/
Neoplasias Gástricas
/
Angiografia
/
Gastroenterostomia
/
Adenocarcinoma
/
Gastrectomia
/
Laparotomia
/
Excisão de Linfonodo
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Gastric Cancer
Ano de publicação:
2013
Tipo de documento:
Artigo
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