Ren Jian-Jun, Li Shu-Dong, Geng Ya-Jun, Xiao Rui
1 Department of General Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, PR China.
2 Key Laboratory of Molecular Pathology, Inner Mongolia Medical University, Huhhot, PR China.
J Int Med Res. 2017 Jun;45(3):1261-1267. doi: 10.1177/0300060517703258. Epub 2017 Apr 18.
Laparoscopic cholecystectomy is a broadly used technique for gallbladder treatment. However, situs inversus, a rare anomaly, is reportedly difficult to treat by conventional laparoscopic cholecystectomy. A 36-year-old woman with chronic cholecystitis and multiple gallstones was found to have dextrocardia on a chest X-ray. Magnetic resonance imaging demonstrated situs inversus, cholecystitis, and cholelithiasis. We successfully performed laparoscopic cholecystectomy using our modified technique, which mainly involved a left-handed operation and adjustment of the port positions. This case will be very instructive for right-handed surgeons in the management of cholelithiasis by laparoscopic cholecystectomy in patients with situs inversus.
腹腔镜胆囊切除术是一种广泛应用于胆囊治疗的技术。然而，内脏反位是一种罕见的异常情况，据报道采用传统的腹腔镜胆囊切除术治疗较为困难。一名患有慢性胆囊炎和多发胆结石的36岁女性在胸部X线检查中被发现有右位心。磁共振成像显示为内脏反位、胆囊炎和胆结石。我们使用改良技术成功实施了腹腔镜胆囊切除术，该技术主要包括左手操作和调整端口位置。该病例对于右利手外科医生在采用腹腔镜胆囊切除术治疗内脏反位患者的胆结石方面具有很大的指导意义。
