Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jul 15, 2022; 14(7): 1363-1371
Published online Jul 15, 2022. doi: 10.4251/wjgo.v14.i7.1363
Da Vinci robot-assisted pancreato-duodenectomy in a patient with situs inversus totalis: A case report and review of literature
Bai-Bei Li, Shi-Liu Lu, Xiang He, Biao Lei, Jian-Ni Yao, Si-Chen Feng, Shui-Ping Yu
Bai-Bei Li, Shi-Liu Lu, Xiang He, Biao Lei, Jian-Ni Yao, Si-Chen Feng, Shui-Ping Yu, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Author contributions: Li BB and Lu SL reviewed the literature, designed the case report presentation, and wrote the manuscript; He X and Lei B participated in manuscript preparation, revision, patient investigation and treatment; Yao JN and Feng SC participated in patient investigation and treatment and provided the gross and pathology images; Yu SP designed the case report presentation and revised the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shui-Ping Yu, PhD, Doctor, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. 478517575@qq.com
Received: March 20, 2022
Peer-review started: March 20, 2022
First decision: April 17, 2022
Revised: April 30, 2022
Accepted: June 26, 2022
Article in press: June 26, 2022
Published online: July 15, 2022
Core Tip

Core Tip: Situs inversus totalis (SIT) is an extremely rare congenital malformation characterized by a mirror image displacement of the thoracoabdominal organs such as the heart, liver, spleen and stomach. SIT combined with choledochal cancer is even rarer, and da Vinci robot-assisted pancreaticoduodenectomy in patients with SIT combined with choledochal cancer has not been reported. This case demonstrates that preoperative thorough planning, intraoperative precise anatomical knowledge, effective teamwork, meticulous treatment, and postoperative care are feasible with the aid of the da Vinci robot for pancreaticoduodenectomy in patients with SIT.