Robotic-assisted Roux-en-Y gastric bypass in a patient with situs inversus


We report the case of a morbidly obese patient with situs inversus who presented for robotic-assisted Roux-en-Y gastric bypass. To do the procedure, the ports were reversed and the first assistant stood on the opposite side of the table. With these minor modifications to technique, the surgery was successfully performed without confusion over the patient’s anatomy. There were no intraoperative complications. The patient’s postoperative course was uneventful and he was discharged on postoperative day 3. We believe this is the first reported robotic-assisted Roux-en-Y gastric bypass in a patient with situs inversus.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2


  1. 1.

    Wittgrove AC, Clark GW (1998) Laparoscopic gastric bypass for morbid obesity in a patient with situs inversus. J Laparoendosc Adv Surg Tech A 8(1):53–55

    CAS  PubMed  Article  Google Scholar 

  2. 2.

    Kim HB et al (2012) Robot-assisted distal gastrectomy for gastric cancer in a situs inversus totalis patient. J Korean Surg Soc 82(5):321–324

    Google Scholar 

Download references

Conflict of interest

Anji Wall, Zuiling Feng, and Willie Melvin declare they have no conflict of interest.

Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Author information



Corresponding author

Correspondence to Anji Wall.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MOV 182876 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Wall, A., Feng, Z. & Melvin, W. Robotic-assisted Roux-en-Y gastric bypass in a patient with situs inversus. J Robotic Surg 8, 169–171 (2014).

Download citation


  • Robotic surgery
  • Situs inversus
  • Morbid obesity
  • Gastric bypass