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Inadequate knowledge regarding the anatomy of situs inversus totalis can result in increased intraoperative bleeding and prolonged operative time. A 74\u2010year\u2010old man was diagnosed with early gastric cancer with situs inversus totalis. We performed laparoscopy\u2010assisted distal gastrectomy with D1+ lymphadenectomy and Billroth\u2010I reconstruction by reversing the standard laparoscopy\u2010assisted distal gastrectomy setup. Mirror images of the operative video of the standardized laparoscopy\u2010assisted distal gastrectomy were created using video editing software. Lymphadenectomy was performed by indocyanine green fluorescence imaging of the lymphatic flow with operative time of 220\u2009minutes and 100\u2009mL intraoperative bleeding. The patient was discharged on postoperative day 10, without postoperative complications. Laparoscopy\u2010assisted distal gastrectomy with indocyanine green navigation is safe and effective in patients with situs inversus totalis and is comparable with standard laparoscopy\u2010assisted distal gastrectomy.<\/jats:p>","DOI":"10.1111\/ases.13105","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T05:09:27Z","timestamp":1657256967000},"page":"95-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Indocyanine green fluorescence imaging\u2010guided laparoscopy\u2010assisted distal gastrectomy for early gastric cancer in a patient with situs inversus totalis: A case report with video"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9203-6048","authenticated-orcid":false,"given":"Kenta","family":"Doden","sequence":"first","affiliation":[{"name":"Department of Surgery Yokohama Sakae Kyosai Hospital  Yokohama 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