Thoracoscopic esophagectomy for thoracic esophageal cancer with situs inversus totalis : Report of a case Shunsaku MIYAUCHI 1 , Isao NOZAKI 1 , Shinji HATO 1 , Ryoji OCHIAI 1 , Naruyuki KOBAYASHI 1 , Takaya KOBATAKE 1 1Department of Surgery, Shikoku Cancer Center Keyword: 完全内臓逆位 , 食道癌 , 胸腔鏡 pp.903-908
Published Date 2018/11/15
DOI https://doi.org/10.11477/mf.4426200640
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 Situs inversus totalis is a congenital abnormality characterized by a complete transposition of thoracic and abdominal organs. Here we report on a rare case of successful thoracoscopic esophagectomy for thoracic esophageal cancer with situs inversus totalis. A 62-year-old woman with situs inversus totalis underwent an upper gastrointestinal endoscopy to investigate the cause of dysphagia, which revealed a tumor of the middle-third of the esophagus. The tumor was diagnosed by biopsy as squamous cell carcinoma of the esophagus (clinical T3N0M0, StageⅡ). We performed neoadjuvant chemotherapy followed by thoracoscopic esophagectomy with gastric pull-up reconstruction. The patient had an uneventful postoperative course except left-sided pneumothorax. Preoperative image training using horizontally-flipped video of our previous operation helped us perform a safe and quick thoracoscopic surgery.

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