Villalvazo Yadira, Jensen Candice M
Miscellaneous, University of Arizona College of Medicine-Tucson, Tucson, USA.
Surgery, Yuma Regional Medical Center, Yuma, USA.
Cureus. 2018 Oct 18;10(10):e3464. doi: 10.7759/cureus.3464.
Situs inversus totalis is a rare congenital condition where organs are mirrored across the sagittal plane of the body. In the absence of associated comorbidities, most people have normal health and lifespan. Challenges with mirrored image anatomy arise when needing an operative procedure involving the intraabdominal organs. There are few reported cases in the literature of laparoscopic surgery in patients with situs inversus, with even fewer in the field of bariatric surgery. Obesity and obesity-related comorbidities continue to increase in our society, and bariatric surgery is a treatment option for weight loss. We report the perioperative approach used in a 59-year-old obese woman with confirmed situs inversus totalis undergoing laparoscopic sleeve gastrectomy.
全内脏反位是一种罕见的先天性疾病，其中器官在身体的矢状面上呈镜像分布。在没有相关合并症的情况下，大多数人健康状况正常，寿命正常。当需要进行涉及腹腔内器官的手术时，镜像解剖结构会带来挑战。文献中报道的全内脏反位患者进行腹腔镜手术的病例很少，在减肥手术领域更少。在我们的社会中，肥胖和与肥胖相关的合并症持续增加，减肥手术是一种减肥治疗选择。我们报告了一名59岁确诊为全内脏反位的肥胖女性接受腹腔镜袖状胃切除术的围手术期处理方法。
