全内脏转位患者的腹腔镜袖状胃切除术：一例报告及文献综述
Laparoscopic sleeve gastrectomy in a patient with Situs Inversus Totalis: A case report and literature review.
作者信息
Amirbeigi Alireza, Abbaslou Fereshteh, Elyasinia Fezzeh
机构信息
Department of General Surgery, School of Medicine, Kerman University of Medical, Iran.
Clinical Research Development Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Ann Med Surg (Lond). 2022 Jun 29;79:104101. doi: 10.1016/j.amsu.2022.104101. eCollection 2022 Jul.
INTRODUCTION
& Importance: Laparoscopic sleeve gastrectomy (LSG) is a widely accepted and effective bariatric surgery for achieving weight loss in patients with extreme obesity. Performing this surgical procedure in patients with congenital anatomical changes including situs inversus (SI) is a challenge for the surgical team. In this condition, the orientation of intra-abdominal organs is the mirror image of those in normal populations.
CASE PRESENTATION
Herein, we present a 29-year-old female with situs inversus totalis who successfully underwent an LSG surgery with proper weight loss post-operatively and no early and late complications.
CLINICAL DISCUSSION
By reviewing the literature for patients with SI undergoing the same procedure, all patients achieved significant weight loss. Three out of nineteen cases experienced complications which were controlled without significant morbidity or mortality.Conclusion: we concluded that LSG will be a safe and effective surgery for the treatment of extreme obesity in SI patients, if the condition is diagnosed preoperatively.
引言
重要性：腹腔镜袖状胃切除术（LSG）是一种被广泛接受且有效的减肥手术，用于帮助极度肥胖患者减重。对于存在包括镜面右位心（SI）在内的先天性解剖结构改变的患者进行该手术，对外科团队而言是一项挑战。在这种情况下，腹腔内器官的方位是正常人群的镜像。
病例介绍
在此，我们报告一名29岁的全内脏反位女性患者，其成功接受了LSG手术，术后体重适当减轻，且未出现早期和晚期并发症。
临床讨论
通过回顾文献中接受相同手术的SI患者，所有患者均实现了显著的体重减轻。19例中有3例出现并发症，但均得到控制，未出现严重的发病率或死亡率。结论：我们得出结论，如果术前诊断出该情况，LSG将是治疗SI患者极度肥胖的一种安全有效的手术。
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