腹腔镜辅助全内脏反位结肠癌切除术：1例报告及文献复习
Laparoscopy-assisted resection of colorectal cancer with situs inversus totalis: A case report and literature review.
作者信息
Chen Wei, Liang Jing-Lin, Ye Jun-Wen, Luo Yan-Xin, Huang Mei-Jin
机构信息
Department of Colorectal Surgery, The Six Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China.
出版信息
World J Gastrointest Endosc. 2020 Sep 16;12(9):310-316. doi: 10.4253/wjge.v12.i9.310.
BACKGROUND
Situs inversus totalis (SIT) is a rare anomaly in which structures are located opposite to their usual positions. It is not a premalignant condition and the association with colorectal cancer (CRC) is rare. We here report a patient with SIT who underwent laparoscopic radical resection of sigmoid colon cancer, and review the pertinent literature.
CASE SUMMARY
A 53-year-old woman presented with CRC and SIT and underwent a complete examination after admission. The patient then underwent laparoscopic radical resection of sigmoid colon cancer and hyperthermic intraperitoneal chemotherapy. The operation duration was 120 min, and no intraoperative complications occurred. The final pathological report showed stage T4aN0M0. Postoperative chemotherapy was administered and no evidence of recurrence was observed during 18 mo of follow-up.
CONCLUSION
Surgery in a patient with CRC and SIT can be safely performed on the basis of routine preoperative clinical examination.
背景
全内脏反位（SIT）是一种罕见的结构位于与其正常位置相反的异常情况。它不是癌前病变，与结直肠癌（CRC）的关联也很罕见。我们在此报告一名患有SIT并接受乙状结肠癌腹腔镜根治性切除术的患者，并回顾相关文献。
病例摘要
一名53岁女性因CRC和SIT入院，入院后进行了全面检查。该患者随后接受了乙状结肠癌腹腔镜根治性切除术和热灌注腹腔化疗。手术时间为120分钟，术中未发生并发症。最终病理报告显示为T4aN0M0期。术后进行了化疗，在18个月的随访期间未观察到复发迹象。
结论
基于常规术前临床检查，CRC合并SIT患者可安全地进行手术。
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