Minimally invasive Ivor Lewis esophagectomy in a patient with situs inversus totalis through a total of five ports


ASLAN S. , Cetinkaya C., DURUSOY A. , Batirel H.

TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, vol.30, no.1, pp.132-135, 2022 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 1
  • Publication Date: 2022
  • Doi Number: 10.5606/tgkdc.dergisi.2022.20476
  • Title of Journal : TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
  • Page Numbers: pp.132-135
  • Keywords: Esophagectomy, minimally invasive, situs inversus totalis, LAPAROSCOPIC GASTRIC MOBILIZATION, THORACOSCOPIC ESOPHAGECTOMY, CANCER, SURGERY

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.