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Laparoscopic Sleeve Gastrectomy in a Patient With Situs Inversus Totalis: A Case Report and Literature Review Publisher



Amirbeigi A1, 2 ; Abbaslou F3 ; Elyasinia F4
Authors
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Authors Affiliations
  1. 1. Department of General Surgery, School of Medicine, Kerman University of Medical, Iran
  2. 2. Clinical Research Development Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Department of Obstetrics and Gynecology, Mirza Kuchekkhan Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of General Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Annals of Medicine and Surgery Published:2022


Abstract

Introduction: & Importance: Laparoscopic sleeve gastrectomy (LSG) is a widely accepted and effective bariatric surgery for achieving weight loss in patients with extreme obesity. Performing this surgical procedure in patients with congenital anatomical changes including situs inversus (SI) is a challenge for the surgical team. In this condition, the orientation of intra-abdominal organs is the mirror image of those in normal populations. Case presentation: Herein, we present a 29-year-old female with situs inversus totalis who successfully underwent an LSG surgery with proper weight loss post-operatively and no early and late complications. Clinical discussion: By reviewing the literature for patients with SI undergoing the same procedure, all patients achieved significant weight loss. Three out of nineteen cases experienced complications which were controlled without significant morbidity or mortality. Conclusion: we concluded that LSG will be a safe and effective surgery for the treatment of extreme obesity in SI patients, if the condition is diagnosed preoperatively. © 2022