Laparoscopy-assisted gastrectomy for advanced gastric cancer patients with situs inversus totalis: Two case reports and review of literature

Table 1 Reported cases of gastric cancer patients with situs inversus totalis in the previous 11 years

Ref.	Age, gender	Abnormal course of vascularity	Surgery modality	Reconstruction	Extent of LND	Surgeon position (trocars placement for robotic surgery)	Operation time (min)	Blood loss (mL)	Discharged on POD	Remarks
Pan et al[25], 2012	52, M	NA	OPG	Billroth Ⅰ	D2	NA	NA	NA	15	Complication: Mechanical obstruction
Kim et al[18], 2012	47, M	NA	LADG (robotic-assisted)	Billroth Ⅱ	D1+ β	Usual side	300	NA	8
Fujikawa et al[26], 2013	60, F	ALHA from CA	LADG	Billroth Ⅰ	D1+	Opposite	234	5	8
Min et al[27], 2013	52, M	CHA from SMA, 2 branches from LGA	LADG	Billroth Ⅰ	D1+	Usual side	220	100	8	Abdominal surgery history: Right inguinal hernia repair
Min et al[27], 2013	68, M	None	TLDG	Billroth Ⅰ	D1+	Usual side	117	50	5	Comorbidities: Chronic kidney disease and hypothyroidism
Sumi et al[17], 2014	42, M	LHA from SMA	LADG	Billroth Ⅰ	D1+ No. 7, 8a, 9	Opposite	313	90	10
Zhu et al[28], 2015	66, F	None	ODG	Billroth Ⅰ	D2	Usual side	NA	NA	NA
Isobe et al[29], 2015	79, F	LHA from AO	OTG splenectomy cholecystectomy	Roux-en-Y	D2	NA	288	150	19
Ye et al[10], 2015	60, F	None	LADG	Billroth Ⅱ	D2	Opposite	230	50	8
Morimoto et al[30], 2015	58, M	None	LATG	Roux-en-Y	D1+ No. 7, 8a, 9	Opposite (except for No. 5, 7, 8a, 9)	359	90	7
Suh[31], 2017	50, M	None	ODG	NA	D2	NA	180	NA	10
Kigasawa et al[32], 2017	40, M	None	LADG	Billroth Ⅰ	D1+	Opposite	284	40	NA
Alhossaini and Hyung[33], 2017	52, F	None	TLDG (robotic-assisted)	gastroduodenostomy	D1+ No. 7, 8, 9	Opposite	195	30	5
Cao et al[34], 2017	60, M	RHA from SMA bridged by GDA, LGA from ALHA	TLTG (robotic-assisted)	Roux-en-Y	D2	NA	NA	NA	8
Gündeş et al[35], 2018	72, F	None	ODG	Billroth Ⅱ enteroenterostomy	D1	Usual side	150	100	8
Namikaw et al[36], 2018	66, F	None	OTG	Roux-en-Y	D2	Usual side	375	380	14
Dai et al[21], 2018	53, M	NA	TLDG (total robotic)	Billroth Ⅱ	D2	Usual side	180	50	5
Shibata et al[37], 2018	79, M	RGEA above RGEV	TLTG	Roux-en-Y	D2 (without splenectomy)	Usual side	232	110	10
Xue et al[16], 2019	61, M	NA	ODG	Billroth Ⅱ	D2	Usual side	NA	NA	14	Abdominal surgery history: Rectal cancer resection
Ojima et al[38], 2019	80, F	None	LADG (total robotic)	Billroth Ⅰ	D2	Usual side	260	20	14
Namikawa et al[39], 2021	74, M	CHA from SMA	TLDG	Roux-en-Y	D2	Opposite	335	20	12	Comorbidity: Emphysema
Abbey et al[19], 2021	69, M	None	LADG (robotic-assisted) intestinal adhesiolysis	Roux-en-Y	D2	Usual side	205	20	15
Takeno et al[40], 2021	71, F	None	LAPG (robotic-assisted)	Esophagogastrostomy	D1+	Usual side	448	45	10
Yoshimoto et al[20], 2021	84, M	NA	LATG (robotic-assisted)	Roux-en-Y	D2	Opposite	NA	30	13
Fujita et al[24], 2022	67, M	CHA from SMA	LADG	Roux-en-Y	D2	Usual side	446	3	14
Sagawa et al[41], 2022	64, M	LGA from LHA	TLDG (total robotic)	Billroth Ⅰ	D1+	Usual side	286	44	7
Katano et al[42], 2022	62, M	Lack of CHA, PHA from SMA, ALHA from LGA, 2 branches from LGV, 3 branches from LGA	TLPG (robotic-assisted) lower esophagectomy	Esophagogastrostomy	D2 (including lower mediastinal LND)	Opposite	296	NA	11
Lamture et al[43], 2022	48, F	NA	ODG	Billroth Ⅱ anastomosis of a part of the transverse colon	NA	Opposite	NA	NA	NA
Doden et al[44], 2023	74, M	None	LADG	Billroth Ⅰ	D1+	Opposite	220	100	10
Huang et al[45], 2023	58, M	None	LADG (3D)	Billroth Ⅱ	D2	Opposite	220	10	8
Lee et al[46], 2023	79, F	NA	TLTG (single-port)	Roux-en-Y	D1+	Opposite	269	NA	14
Present case 1	55, M	None	LATG	Roux-en-Y	D2	Opposite	168	50	10	Comorbidity: Hypertension
Present case 2	65, M	None	LADG	Billroth Ⅱ	D2	Opposite	240	50	9

POD: Postoperative day; LND: Lymphadenectomy; M: Male; F: Female; NA: Not available; ALHA: Accessory left hepatic artery; CA: Celiac artery; CHA: Common hepatic artery; SMA: Superior mesenteric artery; LGA: Left gastric artery; LHA: Left hepatic artery; AO: Aorta; RHA: Right hepatic artery; GDA: Gastroduodenal artery; RGEA: Right gastroepiploic artery; RGEV: Right gastroepiploic vein; PHA: Proper hepatic artery; LGV: Left gastric vein; ODG: Open distal gastrectomy; OPG: Open proximal gastrectomy; OTG: Open total gastrectomy; LADG: Laparoscopy-assisted distal gastrectomy; LATG: Laparoscopy-assisted total gastrectomy; LAPG: Laparoscopy-assisted proximal gastrectomy; TLDG: Total laparoscopy distal gastrectomy; TLPG: Total laparoscopy proximal gastrectomy; TLTG: Total laparoscopy gastrectomy.