Elsevier

Surgical Oncology

Volume 30, September 2019, Pages 98-99
Surgical Oncology

Robotic distal gastrectomy with D2 lymphadenectomy for gastric cancer in a patient with situs inversus totalis

https://doi.org/10.1016/j.suronc.2019.06.007Get rights and content

Highlights

  • Situs inversus totalis (SIT) is a rare congenital anomaly.

  • We show the video of successful robotic gastric cancer surgery on an SIT patient.

  • Robotic techniques can aid the operator's spatial recognition.

  • A “solo surgery” can reduce technical difficulties.

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).

References (4)

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    Przeglad Gastroenterol.

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  • Japanese Gastric Cancer Association

    Japanese gastric cancer treatment guidelines 2014 (ver. 4)

    Gastric Cancer

    (2017)
There are more references available in the full text version of this article.

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