Iusco D R, Sacco S, Ismail I, Bonomi S, Virzì S
Azienda Unità Sanitaria Locale, Bologna, Italy.
G Chir. 2012 Jan-Feb;33(1-2):10-3.
Situs viscerum inversus totalis is a rare defect with a genetic predisposition, which can present difficulties in the management of abdominal pathology, especially in laparoscopic surgery (mirror-image anatomy). We report the case of a 52-year-old female with situs viscerum inversus totalis, known from pediatric age, with a medical history of colic pain in the epigastrium radiating to the right abdominal quadrant. Laparoscopic cholecistectomy was safely performed with a three trocar technique. To the best of our knowledge this is the first time that laparoscopic cholecistectomy by three trocars was performed in a patient with situs viscerum inversus. We also review the relevant literature concerning this issue.
全内脏反位是一种罕见的具有遗传易感性的缺陷，在腹部疾病的处理中可能会带来困难，尤其是在腹腔镜手术中（镜像解剖）。我们报告一例52岁女性全内脏反位患者，自儿童时期即已知晓，有上腹部绞痛并向右腹象限放射的病史。采用三孔技术安全地实施了腹腔镜胆囊切除术。据我们所知，这是首次对全内脏反位患者采用三孔法进行腹腔镜胆囊切除术。我们还回顾了有关此问题的相关文献。
