为一名全内脏转位的超级肥胖患者实施腹腔镜袖状胃切除术。
Laparoscopic sleeve gastrectomy for a super-super-obese patient with situs inversus totalis.
作者信息
Catheline Jean Marc, Rosales Caroline, Cohen Régis, Bihan Hélène, Fournier Jean Luc, Roussel Joël, Bénichou Joseph
机构信息
Bariatric Surgical College of Avicenne Hospital, Assistance Publique, Hôpitaux de Paris, Bobigny, France.
出版信息
Obes Surg. 2006 Aug;16(8):1092-5. doi: 10.1381/096089206778026352.
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.
全内脏转位是一种罕见的缺陷，由于镜像解剖结构，在腹腔镜手术管理中可能会出现困难。在此，我们报告一例全内脏转位且极度肥胖（体重指数76kg/m²）的患者。我们成功实施了腹腔镜袖状胃切除术。本文介绍了该手术在全内脏转位患者中的技术细节。与解剖结构正常的患者相比，并无重大困难。全内脏转位和肥胖存在潜在相关疾病；因此，术前应进行仔细检查，包括胸部X光、心脏和腹部超声检查。袖状胃切除术对于全内脏转位的极度肥胖患者是一种合适的手术方式。
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