全内脏转位患者合并胆结石行单孔胆囊切除术：一例报告
Single-port cholecystectomy in a patient with situs inversus totalis presenting with cholelithiasis: a case report.
作者信息
de Campos Martins Marcus Vinicius Dantas, Pantaleão Falcão José Luis, Skinovsky James, de Faria Guilherme Moraes Silva Simões
机构信息
Hospital Municipal Lourenço Jorge, Av, Ayrton Senna 2000, Barra da Tijuca, Rio de Janeiro, Brasil.
出版信息
J Med Case Rep. 2012 Apr 3;6:96. doi: 10.1186/1752-1947-6-96.
INTRODUCTION
Situs inversus totalis (mirror image organs) is a rare condition and may affect the intra-abdominal viscera as well as the intrathoracic organs. Cholelithiasis is not more common in these conditions, but the diagnosis may be more difficult.
CASE PRESENTATION
We present the case of a 59-year-old African woman with gallstones and situs inversus totalis. A single-port cholecystectomy was performed using a single trocar access device (SITRACC).
CONCLUSIONS
The procedure was uneventful, showing that this approach may be an option for this kind of surgery even in patients with situs inversus totalis.
引言
全内脏反位（镜像器官）是一种罕见病症，可能影响腹腔内器官以及胸腔内器官。胆结石在这些情况下并不更常见，但诊断可能更困难。
病例报告
我们报告一例59岁患有胆结石和全内脏反位的非洲女性病例。使用单孔穿刺接入装置（SITRACC）进行了单孔胆囊切除术。
结论
手术过程顺利，表明即使对于全内脏反位患者，这种方法也可能是此类手术的一种选择。
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