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Title: Prophylactic laparoscopic total gastrectomy in a patient with situs inversus totalis.
Epworth Authors: Crosthwaite, Gary
Sivakumar, Jonathan
Keywords: Gastrectomy
Situs Inversus Totalis
Prophylactic Laparoscopic Total Gastrectomy
Pre-operative Evaluation
Clinical Institute General Surgery and Gastroenterology, Epworth Healthcare, Richmond, Victoria, Australia.
Issue Date: May-2021
Publisher: Oxford Academic Press
Citation: J Surg Case Rep . 2021 May 15;2021(5):rjaa475
Abstract: A rare case was demonstrated whereby a prophylactic laparoscopic total gastrectomy was performed in a 29-year-old male with a CDH1 gene mutation in the context of rare anatomical anomaly, situs inversus totalis (SIT). This report provides radiological and laparoscopic images detailing the patient's unique anatomy. We also describe the operative approach and technical challenges whilst accounting for the patient's anatomical anomaly. This is the first known case of a laparoscopic total gastrectomy for a CDH1 gene mutation in a patient with SIT. With sufficient pre-operative evaluation and meticulous intra-operative caution, this technically complex operation is safe and feasible in patients with mirror-image anatomy as seen in SIT.
DOI: 10.1093/jscr/rjaa475
PubMed URL:
ISSN: 2042-8812
Journal Title: Journal of Surgical Case Reports
Type: Journal Article
Type of Clinical Study or Trial: Case Reports
Appears in Collections:General Surgery and Gastroenterology

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