Abstract
We report the case of a morbidly obese patient with situs inversus who presented for robotic-assisted Roux-en-Y gastric bypass. To do the procedure, the ports were reversed and the first assistant stood on the opposite side of the table. With these minor modifications to technique, the surgery was successfully performed without confusion over the patient’s anatomy. There were no intraoperative complications. The patient’s postoperative course was uneventful and he was discharged on postoperative day 3. We believe this is the first reported robotic-assisted Roux-en-Y gastric bypass in a patient with situs inversus.
References
Wittgrove AC, Clark GW (1998) Laparoscopic gastric bypass for morbid obesity in a patient with situs inversus. J Laparoendosc Adv Surg Tech A 8(1):53–55
Kim HB et al (2012) Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient. J Korean Surg Soc 82(5):321–324
Conflict of interest
Anji Wall, Zuiling Feng, and Willie Melvin declare they have no conflict of interest.
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Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Wall, A., Feng, Z. & Melvin, W. Robotic-assisted Roux-en-Y gastric bypass in a patient with situs inversus. J Robotic Surg 8, 169–171 (2014). https://doi.org/10.1007/s11701-013-0402-7
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DOI: https://doi.org/10.1007/s11701-013-0402-7