Thoracoscopic esophagectomy for esophageal cancer with situs inversus totalis: a case report and literature review

Naoto Ujiie, Toru Nakano, Takashi Kamei, Hirofumi Ichikawa, Go Miyata, Ko Onodera, Noriaki Ohuchi

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


A 63-year-old male visited our hospital, complaining of discomfort when swallowing. Upper gastrointestinal endoscopy revealed a type 2 tumor in the middle thoracic esophagus, which was diagnosed as squamous cell carcinoma by endoscopic biopsy. Computed tomography revealed situs inversus totalis (SIT). We assessed the relationship of the esophagus with neighboring organs using preoperative three-dimensional imaging. We performed thoracoscopic esophagectomy with radical lymph node dissection in the right decubitus position and hand-assisted laparoscopic gastric mobilization in the supine position. The definitive diagnosis was squamous cell carcinoma, pT2N1M0, pStage IIB according to the Union for International Cancer Control. The patient’s postoperative course was uneventful, and 5 years post-operation, he is alive without recurrence. In SIT patients, surgical procedures are difficult because of anatomic transposition. Three-dimensional imaging effectively assesses the anatomical structure and contributes to safer thoracoscopic esophagectomy for esophageal cancer patients with SIT. Relevant literature is also discussed and reviewed.

Original languageEnglish
Pages (from-to)359-362
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Issue number6
Publication statusPublished - 2016 Jun 1


  • Esophageal cancer
  • Situs inversus totalis
  • Thoracoscopic esophagectomy
  • Three-dimensional imaging


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