{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:21:01Z","timestamp":1768432861081,"version":"3.49.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T00:00:00Z","timestamp":1483574400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Situs inversus totalis (SIT) is a rare congenital condition characterized by a complete transposition of thoracic and abdominal organs. Here, we present two successful cases of left thoracoscopic esophagectomy in the prone position for SIT-associated esophageal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>Our first case was of an 82-year-old man who underwent a left thoracoscopic esophagectomy in the prone position, followed by hand-assisted laparoscopic gastric mobilization. Surgical duration and blood loss were 661 min and 165 g, respectively. His postoperative course was uneventful. The second case was of a 66-year-old man who underwent a left thoracoscopic esophagectomy in the prone position, followed by gastric mobilization via laparotomy owing to a concomitant intestinal malrotation and polysplenia. Surgical duration and blood loss were 637 min and 220 g, respectively. We trained for the surgical procedures preoperatively using left-inverted and right-inverted thoracoscopic surgical videos of patients with normal anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Surgical procedures in SIT patients are challenging owing to their mirrored anatomy. Recognition, of their, variations, is, thus important to, avoid, intraoperative accidental injuries. Left-inverted and right-inverted thoracoscopic surgical videos of patients with normal anatomy were found to be useful for image training prior to the actual surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Thoracoscopic surgical treatment for esophageal cancer associated with SIT in the prone position can be performed safely, similar to the manner performed for thoracoscopic surgery in the right decubitus position, or surgery via an open thoracotomy. Gastric mobilization via laparotomy should be considered in patients associated other anatomic variations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.01.009","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T13:16:43Z","timestamp":1483708603000},"page":"43-46","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Thoracoscopic surgery in the prone position for esophageal cancer in patients with situs inversus totalis"],"prefix":"10.1097","volume":"31","author":[{"given":"Toru","family":"Nakano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kamei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Onodera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Ujiie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriaki","family":"Ohuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-12-20260114","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1007\/s11605-011-1789-y","article-title":"Thoracoscopic esophagectomy and hand-assisted laparoscopic gastric mobilization for esophageal cancer with situs inversus totalis","volume":"16","author":"Yagi","year":"2012","journal-title":"J. Gastrointest. Surg"},{"key":"R2-12-20260114","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.athoracsur.2013.10.058","article-title":"Left video-assisted thoracoscopic surgery esophagectomy in a patient with situs inversus totalis and Kartagener syndrome","volume":"98","author":"Peel","year":"2014","journal-title":"Ann. Thorac. Surg"},{"key":"R3-12-20260114","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1089\/lap.2004.14.384","article-title":"The management of esophageal cancer with situs inversus totalis by simultaneous hand-assisted laparoscopic gastric mobilization and thoracoscopic esophagectomy","volume":"14","author":"Yoshida","year":"2004","journal-title":"J. Laparoendosc. Adv. Surg. Technol. A"},{"key":"R4-12-20260114","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s11748-016-0639-y","article-title":"Thoracoscopic esophagectomy for esophageal cancer with situs inversus totalis: a case report and literature review","volume":"64","author":"Ujiie","year":"2016","journal-title":"Gen. Thorac. Cardiovasc. Surg"},{"key":"R5-12-20260114","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1093\/icvts\/ivv299","article-title":"Minimally invasive Ivor Lewis oesophagogastrectomy in a patient with situs inversus totalis","volume":"22","author":"Singh","year":"2016","journal-title":"Interact. Cardiovasc. Thorac. Surg"},{"key":"R6-12-20260114","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/00000658-194902000-00009","article-title":"Surgery in Situs Inversus","volume":"129","author":"Blegen","year":"1949","journal-title":"Ann. Surg"},{"key":"R7-12-20260114","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1378\/chest.61.1.56","article-title":"Situs inversus totalis and Kartagener\u2019s syndrome in a Japanese population","volume":"61","author":"Katsuhara","year":"1972","journal-title":"Chest"},{"key":"R8-12-20260114","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1387\/ijdb.8645568","article-title":"Situs inversus and ciliary abnormalities. What is the connection?","volume":"39","author":"Afzelius","year":"1995","journal-title":"Int. J. Dev. Biol"},{"key":"R9-12-20260114","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.clinimag.2009.11.011","article-title":"Polysplenia syndrome accompanied with situs inversus totalis and annular pancreas in an elderly patient","volume":"34","author":"Kayhan","year":"2010","journal-title":"Clin. Imag"},{"key":"R10-12-20260114","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/BF02076338","article-title":"Polysplenia a review of 146 cases","volume":"4","author":"Peoples","year":"1983","journal-title":"Pediatr. Cardiol"},{"key":"R11-12-20260114","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3941\/jrcr.v9i7.2210","article-title":"Heterotaxy polysplenia syndrome In an adult with unique vascular anomalies: case report with review of literature","volume":"9","author":"Rameshbabu","year":"2015","journal-title":"J. Radiol. Case Rep"},{"key":"R13-12-20260114","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.2214\/AJR.09.2411","article-title":"Anomalies of visceroatrial situs","volume":"193","author":"Ghosh","year":"2009","journal-title":"AJR Am. J. Roentgenol"},{"key":"R14-12-20260114","doi-asserted-by":"crossref","first-page":"187","DOI":"10.4103\/0974-2069.140834","article-title":"Non-cardiac issues in patients with heterotaxy syndrome","volume":"7","author":"Kothari","year":"2014","journal-title":"Ann. Pediatr. Cardiol"},{"key":"R16-12-20260114","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1016\/S0140-6736(12)60516-9","article-title":"Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial","volume":"379","author":"Biere","year":"2012","journal-title":"Lancet"},{"key":"R17-12-20260114","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1007\/s00464-014-4003-y","article-title":"Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy","volume":"29","author":"Teshima","year":"2015","journal-title":"Surg. 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