Left video-assisted thoracoscopic surgery esophagectomy in a patient with situs inversus totalis and Kartagener syndrome.

[esophageal adenocarcinoma]

A 67 -year -old man with situs inversus totalis and Kartagener syndrome was diagnosed with esophageal adenocarcinoma after presenting with chronic gastroesophageal reflux . Resection of the tumor was done by minimally invasive Ivor -Lewis esophagectomy using a left video-assisted thoracoscopic surgery approach , rather than the typical right video-assisted thoracoscopic surgery . Patients with situs inversus totalis may be considered for fully minimally invasive esophagectomy with laparoscopic gastric mobilization and video-assisted thoracoscopic surgery esophagectomy with an intrathoracic anastomosis using a similarly opposite-sided approach . Patients with Kartagener syndrome are also at increased risk for respiratory tract infections . This should be considered in the perioperative period , as well as when considering induction chemoradiation therapy .