Robotic distal gastrectomy with D2 lymphadenectomy for gastric cancer in a patient with situs inversus totalis
Section snippets
Background
Situs inversus totalis (SIT) is a rare congenital anomaly. Gastric cancer surgery in mirror-image patients is difficult to perform because of the lack of standardized strategy for collaboration between operators and assistants [1]. In robotic surgery, however, familiarity of surgical positions and a utility of the surgeon's dominant arm may be beneficial to SIT patients. A “solo surgery” can reduce technical difficulties. In addition, three-dimensional images and magnifying views are beneficial
Disclosures
Toshiyasu Ojima, Masaki Nakamura, Mikihito Nakamori, and Hiroki Yamaue have no conflicts of interest or financial ties to disclose.
Human rights statement and informed consent
This study was approved by the Institutional Review Board and the Ethics Committee of Wakayama Medical University. The study protocol was registered at the University Hospital Medical Information Network (UMIN000031536).
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