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
| Autor: | T Subramanyeshwar Rao, K. V. V. N. Raju, B. Madhunarayana, Syed Nusrath, S. Murtaza Ahmed, Sujit Chyau Patnaik |
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| Rok vydání: | 2020 |
| Předmět: |
Esophagostomy
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Preoperative planning business.industry medicine.medical_treatment Case Report Carcinoma esophagus medicine.disease Sagittal plane Surgery 03 medical and health sciences Situs inversus 0302 clinical medicine medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis otorhinolaryngologic diseases medicine 030211 gastroenterology & hepatology Lymphadenectomy business McKeown esophagectomy Chemoradiotherapy |
| Zdroj: | Indian J Surg Oncol |
| ISSN: | 0976-6952 0975-7651 |
| DOI: | 10.1007/s13193-020-01132-4 |
| Popis: | Situs inversus totalis is an uncommon anatomical congenital anomaly characterized by complete transposition of viscera with right-to-left reversal across the sagittal plane. Consequently, surgery in such cases is more technically challenging and requires a complete reorientation of visual-motor coordination skills. We describe a case of a 50-year-old gentleman with locally advanced lower esophagus carcinoma post-neoadjuvant chemoradiotherapy with situs inversus totalis and treated with minimally invasive McKeown esophagectomy using a left thoracoscopic, laparoscopic-assisted and right cervical approach. The operative procedure and difficulties during surgery are highlighted. Minimal invasive esophagectomy is safe and feasible in situs inversus totalis. Recognition of the anatomy with a meticulous preoperative planning is advocated for an uneventful operative intervention. |
| Databáze: | OpenAIRE |
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