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Laparoscopic Sleeve Gastrectomy for a Super-Super-Obese Patient with Situs Inversus Totalis

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Situs inversus totalis is a rare defect which can present difficulties in the management in laparoscopic surgery due to the mirror-image anatomy. Herein, we report a patient with situs inversus totalis and super-super-obesity (BMI 76 kg/m2). We performed successful laparoscopic sleeve gastrectomy. Technical details of this operation, with situs inversus totalis, are presented. There were no major difficulties compared to patients with usual anatomy. There are potential diseases associated with situs inversus and obesity; therefore, a careful investigation, including a chest x-ray and cardiac and abdominal ultrasounds should be performed before surgery. Sleeve gastrectomy is an adequate procedure in super-super-obese patients with situs inversus totalis.

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Authors and Affiliations

  1. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Jean Marc Catheline MD

  2. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Caroline Rosales MD

  3. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Régis Cohen MD, PhD

  4. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Hélène Bihan MD

  5. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Jean Luc Fournier MD

  6. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Joël Roussel MD

  7. Bariatric Surgical College of Avicenne Hospital, "Assistance Publique, Hôpitaux de Paris'', Bobigny, France

    Joseph Bénichou MD

Authors
  1. Jean Marc Catheline MD
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  2. Caroline Rosales MD
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  3. Régis Cohen MD, PhD
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  4. Hélène Bihan MD
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  5. Jean Luc Fournier MD
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  6. Joël Roussel MD
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  7. Joseph Bénichou MD
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Catheline, J.M., Rosales, C., Cohen, R. et al. Laparoscopic Sleeve Gastrectomy for a Super-Super-Obese Patient with Situs Inversus Totalis. OBES SURG 16, 1092–1095 (2006). https://doi.org/10.1381/096089206778026352

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  • DOI: https://doi.org/10.1381/096089206778026352

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