Thoracoscopic Esophagectomy for Esophageal Cancer with Situs Inversus Totalis: a Case Report and Literature Review

Overview

Journal Gen Thorac Cardiovasc Surg

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2016 Mar 18

PMID 26984287

Citations 7

Authors

Naoto Ujiie

Toru Nakano

Takashi Kamei

Hirofumi Ichikawa

Go Miyata

Ko Onodera

Noriaki Ohuchi

Affiliations

Soon will be listed here.

Abstract

A 63-year-old male visited our hospital, complaining of discomfort when swallowing. Upper gastrointestinal endoscopy revealed a type 2 tumor in the middle thoracic esophagus, which was diagnosed as squamous cell carcinoma by endoscopic biopsy. Computed tomography revealed situs inversus totalis (SIT). We assessed the relationship of the esophagus with neighboring organs using preoperative three-dimensional imaging. We performed thoracoscopic esophagectomy with radical lymph node dissection in the right decubitus position and hand-assisted laparoscopic gastric mobilization in the supine position. The definitive diagnosis was squamous cell carcinoma, pT2N1M0, pStage IIB according to the Union for International Cancer Control. The patient's postoperative course was uneventful, and 5 years post-operation, he is alive without recurrence. In SIT patients, surgical procedures are difficult because of anatomic transposition. Three-dimensional imaging effectively assesses the anatomical structure and contributes to safer thoracoscopic esophagectomy for esophageal cancer patients with SIT. Relevant literature is also discussed and reviewed.

Citing Articles

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 Derg. 2022; 30(1):132-135.

PMID: 35444841 PMC: 8990158. DOI: 10.5606/tgkdc.dergisi.2022.20476.

Operative Challenges with Minimally Invasive McKeown Esophagostomy with Two-Field Lymphadenectomy in a Case of Situs Inversus Totalis with Carcinoma Esophagus: A Case Report with Review of the Literature.

Nusrath S, Murtaza Ahmed S, Madhunarayana B, Raju K, Subramanyeshwar Rao T, Patnaik S Indian J Surg Oncol. 2020; 11(4):662-667.

PMID: 33299283 PMC: 7714881. DOI: 10.1007/s13193-020-01132-4.

Minimally invasive esophagectomy with intrathoracic anastomosis in a situs inversus totalis patient.

Meng Y, Xiao H, Zhang Z, Li K, Huang Q, Qiu W J Surg Case Rep. 2020; 2020(11):rjaa480.

PMID: 33274044 PMC: 7697850. DOI: 10.1093/jscr/rjaa480.

Total minimally invasive McKeown esophagectomy in an esophageal cancer patient with situs inversus totalis: A case report.

Xie C, Cai J, Tan Z, Yang J, Yang H Thorac Cancer. 2020; 12(1):122-127.

PMID: 33155374 PMC: 7779195. DOI: 10.1111/1759-7714.13723.

Gastric cancer with situs inversus totalis: does it really create difficulties for surgeons?.

Gundes E, Cetin D, Aday U, Ciyiltepe H, Bozdag E, Senger A Prz Gastroenterol. 2018; 13(1):47-51.

PMID: 29657611 PMC: 5894452. DOI: 10.5114/pg.2018.74563.

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