Laparoscopy-assisted distal gastrectomy in a case of gastric cancer with situs inversus totalis: a case report

Yu Kigasawa, Hiroya Takeuchi, Hirofumi Kawakubo, Kazumasa Fukuda, Rieko Nakamura, Tsunehiro Takahashi, Norihito Wada, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Situs inversus totalis (SIT) is a rare congenital condition in which abdominal and thoracic organs are transposed from normal positions. Laparoscopy-assisted distal gastrectomy for situs inversus totalis is technically difficult and has rarely been reported. Here, we report the case of man in his 40s with situs inversus totalis and a preoperative diagnosis of stage IA gastric cancer (cT1b, cN0, cM0). We successfully performed laparoscopy-assisted distal gastrectomy with D1+ lymph node dissection and Billroth I reconstruction. To ensure a safe procedure, we evaluated the vessels preoperatively with 3-D CT angiography. Furthermore, we performed the surgery by reversing our surgical positions, using a two-monitor method, and then reconstructing under direct vision through the incision. The surgery was performed with minimal blood loss, and no severe postoperative complications were observed. Histopathological examination revealed poorly to moderately differentiated stage IA (pT1b, pN0, pM0) adenocarcinoma. No recurrence has been observed as of 2 years postoperatively.

Original languageEnglish
Pages (from-to)47-50
Number of pages4
JournalAsian journal of endoscopic surgery
Issue number1
Publication statusPublished - 2017 Feb 1


  • Gastric cancer
  • laparoscopy-assisted distal gastrectomy
  • situs inversus totalis

ASJC Scopus subject areas

  • Medicine(all)


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