一名患有完全性内脏反位的巴西亚马逊女性接受三孔腹腔镜胆囊切除术：手术方法

Fernandes Mauro Neiva, Neiva Ivan Nazareno Campos, de Assis Camacho Francisco, Meguins Lucas Crociati, Fernandes Marcelo Neiva, Meguins Emília Maíra Crociati

Department of General Surgery, Dom Luiz I Hospital of Beneficente Portuguesa do Pará Brazil.

Case Rep Gastroenterol. 2008 May 24;2(2):170-4. doi: 10.1159/000129704.

Situs inversus totalis (SIT) is an uncommon anomaly characterized by transposition of organs to the opposite side of the body in a mirror image of normal. We report on an adult woman, born and resident in Brazilian Amazonia, presenting acute pain located at the left hypochondrium and epigastrium. During clinical and radiological evaluation, the patient was found to have SIT and multiple stones cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion. In conclusion, this case confirms that three-port laparoscopic cholecystectomy is a safe and feasible surgical approach to treat cholelithiasis even in rare and challenging conditions like SIT.

全内脏反位（SIT）是一种罕见的异常情况，其特征是器官在身体的另一侧呈正常镜像移位。我们报告了一名成年女性，出生并居住在巴西亚马逊地区，出现左上腹和上腹部急性疼痛。在临床和放射学评估中，发现该患者患有全内脏反位和多发性胆结石。采用三孔技术以反向方式安全地进行了腹腔镜胆囊切除术。总之，该病例证实，即使在像全内脏反位这样罕见且具有挑战性的情况下，三孔腹腔镜胆囊切除术也是治疗胆结石的一种安全可行的手术方法。