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Laparoscopic sleeve gastrectomy in partial situs inversus.

S Borude1, S Jadhav1, T Shaikh1

  • 1BSES Hospital, Andheri, Mumbai, India.

Journal of Surgical Case Reports
|June 25, 2014
PubMed
Summary

Laparoscopic Vertical Sleeve Gastrectomy in a patient with partial situs inversus presented unique surgical challenges. A mirror image approach is recommended for improved outcomes in such complex cases.

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Area of Science:

  • Bariatric Surgery
  • Surgical Innovation
  • Congenital Anomalies

Background:

  • Partial situs inversus is a rare congenital condition where organs are partially mirrored.
  • Laparoscopic surgery in patients with situs inversus requires careful consideration of anatomical variations.
  • Morbid obesity presents additional challenges in surgical candidates.

Purpose of the Study:

  • To report a case of Laparoscopic Vertical Sleeve Gastrectomy (LSG) in a morbidly obese young female with partial situs inversus.
  • To enumerate the peri-operative challenges encountered during the procedure.
  • To discuss potential strategies for successful surgical management in similar cases.

Main Methods:

  • Case report of a young morbidly obese female undergoing LSG.

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  • Detailed documentation of peri-operative challenges.
  • Postoperative assessment including barium swallow.

    • Main Results:

    • The patient successfully underwent LSG despite significant peri-operative challenges.
    • A mirror image surgical approach, recommended for such cases, was not utilized.
    • Postoperative barium swallow confirmed normal anatomy and function.

    Conclusions:

    • Laparoscopic surgery in partial situs inversus, including LSG, is feasible but challenging.
    • Careful pre-operative planning and intra-operative awareness are crucial.
    • The mirror image approach may enhance surgical safety and efficacy in situs inversus cases.