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31.05.2022 | Case report

Robotic distal gastrectomy for gastric cancer in a patient with situs inversus totalis and a vascular anomaly

verfasst von: Hiroyuki Sagawa, Sunao Ito, Shunsuke Hayakawa, Shuhei Ueno, Tomotaka Okubo, Tatsuya Tanaka, Ryo Ogawa, Hiroki Takahashi, Yoichi Matsuo, Akira Mitsui, Masahiro Kimura, Shuji Takiguchi

Erschienen in: International Cancer Conference Journal | Ausgabe 4/2022

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Abstract

Situs inversus totalis is defined as a complete mirror-image transposition of the thoracic and abdominal viscera. Cancer surgery in patients with situs inversus totalis can be more difficult than in patients without situs inversus totalis; however, robotic surgery using the da Vinci Surgical System allows for intuitive operation with its multi-articular function and stereopsis effect. In addition, prevention of shaking and the motion scale allows for efficient surgical procedures. We evaluated a 64-year-old man who had gastric cancer, and situs inversus totalis and a blood-vessel variation. To facilitate intuitive handling of the robot in this patient with organs reversed from the norm, we arranged the instruments and ports in such a way that the Maryland bipolar forceps could be used with the surgeon’s right hand. We performed a successful robotic distal gastrectomy with lymph node dissection. The operative time was 286 min, and the blood loss was 44 mL. There were no intra- or post-operative complications. The patient was discharged on postoperative day 7 and has had no evidence of a recurrence for 18 months. We conclude that robotic surgery is an efficient tool for operating on patients with gastric cancer, and situs inversus totalis and vessel variations.
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Metadaten
Titel
Robotic distal gastrectomy for gastric cancer in a patient with situs inversus totalis and a vascular anomaly
verfasst von
Hiroyuki Sagawa
Sunao Ito
Shunsuke Hayakawa
Shuhei Ueno
Tomotaka Okubo
Tatsuya Tanaka
Ryo Ogawa
Hiroki Takahashi
Yoichi Matsuo
Akira Mitsui
Masahiro Kimura
Shuji Takiguchi
Publikationsdatum
31.05.2022
Verlag
Springer Nature Singapore
Erschienen in
International Cancer Conference Journal / Ausgabe 4/2022
Elektronische ISSN: 2192-3183
DOI
https://doi.org/10.1007/s13691-022-00554-x

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