Donthi R, Thomas D J, Sanders D, Schmidt S P
Department of Surgery, Summa Health System, Akron, OH 44314, USA.
JSLS. 2001 Jan-Mar;5(1):53-6.
Laparoscopic cholecystectomy has been widely performed since its introduction in 1987 by Mouret. However, conversion to open cholecystectomy is common when the surgeon encounters variant anatomy. We report 2 cases of cholecystitis and cholelithiasis in patients with left-sided gallbladders that were treated with laparoscopic cholecystectomy by the same surgeon at this institution. The patient in the first case had the condition of situs inversus totalis, and the gallbladder of the second patient was located to the left of the round ligament. In both instances, successful laparoscopic cholecystectomy was performed, and the patients recovered uneventfully.
自1987年穆雷首次开展腹腔镜胆囊切除术以来,该手术已得到广泛应用。然而,当外科医生遇到解剖结构变异时,转为开腹胆囊切除术的情况很常见。我们报告了2例左侧胆囊合并胆囊炎和胆结石的患者,均在本院由同一位外科医生进行了腹腔镜胆囊切除术。第一例患者患有完全性内脏反位,第二例患者的胆囊位于圆韧带左侧。在这两例手术中,腹腔镜胆囊切除术均成功实施,患者术后恢复顺利。