Publication: Minimally invasive Ivor Lewis esophagectomy in a patient with situs inversus totalis through a total of five ports
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Date
2022-01-01
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Abstract
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.
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Tıp, Sağlık Bilimleri, Cerrahi Tıp Bilimleri, Medicine, Health Sciences, Surgery Medicine Sciences, CERRAHİ, Klinik Tıp, Klinik Tıp (MED), SURGERY, CLINICAL MEDICINE, Clinical Medicine (MED), Surgery, Esophagectomy, minimally invasive, situs inversus totalis, LAPAROSCOPIC GASTRIC MOBILIZATION, THORACOSCOPIC ESOPHAGECTOMY, CANCER
Citation
ASLAN S., Cetinkaya C., DURUSOY A., Batirel H., "Minimally invasive Ivor Lewis esophagectomy in a patient with situs inversus totalis through a total of five ports", TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, cilt.30, sa.1, ss.132-135, 2022