A case of laparoscopy-assisted distal gastrectomy for a patient with complete situs inversus Yudai HIRATA 1 , Mikihiro NAKAYAMA 1 , Masataka ONEYAMA 1 , Yasumasa TAKAHASHI 1 , Ryo Ota 1 , Koji SEKIKAWA 1 1Department of Surgery, Kawasaki Saiwai Hospital Keyword: 完全内臓逆位 , 胃癌 , 腹腔鏡補助下幽門側胃切除 pp.459-463
Published Date 2014/7/15
DOI https://doi.org/10.11477/mf.4426101120
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We performed laparoscopy-assisted distal gastrectomy for an early gastric cancer patient with complete situs inversus. The patient was a 73-year-old woman. She has been previously diagnosed with complete situs inversus. She was diagnosed as early gastric cancer in the lower part of the stomach. At first, she underwent endoscopic submucosal dissection(ESD). But,vascular invasion deeper than 1,800μm was reported. So we performed laparoscopy-assisted distal gastrectomy. Laparoscopic surgery for the patient with complete situs inversus has a high degree of difficulty. However,with careful technique and device usage and a good understanding of the anatomy, the operation procedure is not so difficult. In this report,we describe our technique of LADG for the patients with complete situs inversus.

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