Lee In Young, Lee Danbi, Lee Chang Min
Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Department of Surgery, Korea University Medical Center Ansan Hospital, Ansan, Gyeonggi-do, Republic of Korea.
Front Oncol. 2023 Jan 18;13:1094053. doi: 10.3389/fonc.2023.1094053. eCollection 2023.
Situs inversus totalis (SIT) is a rare anatomical condition, where all the viscera appear in its reverse position. Although minimally invasive surgery has evolved to achieve totally laparoscopic gastrectomy for gastric cancer patients with SIT, it is difficult to perform lymphadenectomy in such a transposed anatomical condition. Recently, we performed a single-port laparoscopic total gastrectomy (SPTG) for gastric cancer in a patient with SIT. No postoperative complications or dietary problems were observed. Based on this experience, we are to design a safe strategy to perform D2 lymphadenectomy during SPTG in patients with SIT.
全内脏反位（SIT）是一种罕见的解剖学状况，其中所有内脏均呈现其相反位置。尽管微创手术已发展到可为患有SIT的胃癌患者实施完全腹腔镜胃切除术，但在这种解剖位置转位的情况下进行淋巴结清扫术仍很困难。最近，我们为一名患有SIT的患者实施了单孔腹腔镜全胃切除术（SPTG）。未观察到术后并发症或饮食问题。基于这一经验，我们将设计一种安全策略，以便在为患有SIT的患者进行SPTG时实施D2淋巴结清扫术。
