全内脏转位患者的腹腔镜半结肠切除术。
Laparoscopic hemicolectomy in a patient with situs inversus totalis.
作者信息
Fujiwara Yushi, Fukunaga Yosuke, Higashino Masayuki, Tanimura Shinya, Takemura Masashi, Tanaka Yoshinori, Osugi Harushi
机构信息
Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22, Miyakojima-Hondoori, Miyakojima-ku, Osaka 534-0021, Japan.
出版信息
World J Gastroenterol. 2007 Oct 7;13(37):5035-7. doi: 10.3748/wjg.v13.i37.5035.
Abstract
As among persons with normal anatomy, occasional patients with situs inversus develop malignant tumors. Recently, several laparoscopic operations have been reported in patients with situs inversus. We describe laparoscopic hemicolectomy with radical lymphadenectomy in such a patient. Careful consideration of the mirror-image anatomy permitted safe operation using techniques not otherwise differing from those in ordinary cases. Thus, curative laparoscopic surgery for colon cancer in the presence of situs inversus is feasible and safe.
摘要
在解剖结构正常的人群中，偶尔也会有内脏反位的患者发生恶性肿瘤。最近，已有几例关于内脏反位患者进行腹腔镜手术的报道。我们在此描述了一位此类患者行腹腔镜半结肠切除术并根治性淋巴结清扫术的情况。仔细考虑镜像解剖结构后，采用与普通病例无异的技术实现了安全手术。因此，在内脏反位情况下进行结肠癌的根治性腹腔镜手术是可行且安全的。
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