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ASLAN, SEZER

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Author: DURUSOY, ALİ × Has files: true ×

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    Minimally invasive Ivor Lewis esophagectomy in a patient with situs inversus totalis through a total of five ports
    (2022-01-01) DURUSOY, ALİ; ASLAN, SEZER; ASLAN S., Cetinkaya C., DURUSOY A., Batirel H.
    Situs inversus totalis is inverse placement of intra-thoracic and abdominal organs identical with a mirror image. Herein, we present a rare case of situs inversus totalis and gastroesophageal junction carcinoma treated with minimally invasive Ivor Lewis esophagectomy. A 73-year-old male patient presented with dysphagia and a diagnosis of adenocarcinoma was made. He underwent three-port laparoscopic gastric conduit preparation without using a liver retractor. Esophageal mobilization in the chest was completed with biportal video-assisted thoracoscopic surgery technique and a completely side-to-side stapled anastomosis. The patient is still alive without recurrence four years after surgery. Minimally invasive Ivor Lewis esophagectomy can be performed in these cases; however, a careful planning and rethinking of the anatomy for correct intraoperative orientation are needed. Similar surgical and oncological outcomes are expected in this patient population.