Markogiannakis Haridimos, Skalistira Maria, Georgiou Lukas, Louizos Antonios, Leandros Emmanuel
1st Department of Propaedeutic Surgery, Athens Medical School, University of Athens, Hippocration Hospital, Athens, Greece.
JSLS. 2009 Apr-Jun;13(2):276-8.
Myotonic dystrophy (DM) is a rare autosomal dominant inherited neuromuscular disease involving several systems. The anesthetic method of choice remains uncertain. The risk of perioperative complications, particularly pulmonary and cardiac complications, in these patients is of major concern. We report on a 16-year-old female patient with DM type 1 undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis, who had a smooth, uncomplicated recovery. Laparoscopic cholecystectomy is feasible and safe in patients with DM but requires individual multidisciplinary perioperative management.
强直性肌营养不良（DM）是一种累及多个系统的罕见常染色体显性遗传性神经肌肉疾病。首选的麻醉方法仍不确定。这些患者围手术期并发症的风险，尤其是肺部和心脏并发症，是主要关注点。我们报告了一名16岁1型DM女性患者，因有症状的胆结石接受腹腔镜胆囊切除术，术后恢复顺利，未出现并发症。腹腔镜胆囊切除术对DM患者是可行且安全的，但需要个体化的多学科围手术期管理。
