ArticleAnnals of medicine and surgery (2012)2026
Laparoscopic sleeve gastrectomy in patients with situs inversus totalis: a systematic review.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
1 author.
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Abstract
Background: Laparoscopic sleeve gastrectomy (LSG) is a common metabolic bariatric procedure for obesity. Performing LSG in situs inversus totalis (SIT), a rare congenital anomaly with mirror-image organ reversal, is challenging. This review evaluated the feasibility, safety, and technical considerations of LSG in patients with SIT. Methods: A systematic search of PubMed, Scopus, Web of Science, Cochrane Library, and ScienceDirect was conducted for studies published between 2019 and June 2025. The review followed PRISMA 2020 guidance and the Joanna Briggs Institute critical appraisal tools for case reports and case series and was registered with PROSPERO. Results: Of the 42 records identified, 15 patients from eligible reports were included. The preoperative body mass index (BMI) ranged from 35.8 to 55 kg/m Conclusion: LSG appears feasible, safe, and effective in patients with SIT when supported by careful preoperative imaging, planning, and minor technical modifications. SIT-related anatomical variation does not appear to adversely affect outcomes.
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