Deutsch Gary B, Gunabushanam V, Mishra N, Sathyanarayana S Anantha, Kamath V, Buchin D
Department of General Surgery, Hofstra - North Shore - LIJ School of Medicine, Manhasset, NY.
J Minim Access Surg. 2012 Jul;8(3):93-6. doi: 10.4103/0972-9941.97595.
While several equivalent alternatives are available in the bariatric algorithm, more recently the laparoscopic sleeve gastrectomy (SG) has been gaining traction as an effective means of weight loss in patients with morbid obesity. We present the case of a 39-year-old woman with situs inversus totalis, who was taken to the operating room for laparoscopic SG. The patient had previously undergone a failed open gastric banding procedure 20 months earlier. Awareness of the inherited condition before performing the operation allows for advanced planning and preparation. Subsequent modifications to the standard trocar placement help make the procedure more technically feasible. To our knowledge, this is the first published report of a laparoscopic SG after open gastric banding in a patient with situs inversus totalis. After encountering the initial disorientation, we believe experienced laparoscopic surgeons can perform this procedure successfully and safely.
虽然在减肥手术算法中有几种等效的替代方案，但最近腹腔镜袖状胃切除术（SG）作为治疗病态肥胖患者的一种有效减肥方法越来越受到关注。我们报告一例39岁全内脏转位女性患者，因腹腔镜SG被送入手术室。该患者20个月前曾接受过一次失败的开放式胃束带手术。在手术前了解遗传性疾病有助于进行提前规划和准备。随后对标准套管针放置位置的调整有助于使手术在技术上更可行。据我们所知，这是首例关于全内脏转位患者在开放式胃束带手术后行腹腔镜SG的报道。在遇到最初的方向迷失后，我们相信经验丰富的腹腔镜外科医生能够成功且安全地完成该手术。
