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镜面人腹腔镜胃袖状切除术:一例报告

Looking in a mirror, laparoscopic gastric sleeve in situs inversus patient: a case report.

作者信息

Paipilla Omar A, Molina Gabriel A, Zavalza Juan F, Gil Miriam, Montero Maria L, Fuster Richard, Hernandez Maria E, Diaz Marisela A

机构信息

Hospital Ciba, Tijuana, México.

Hospital Ciba Tijuana, México & Universidad San Francisco de Quito, Ecuador.

出版信息

J Surg Case Rep. 2022 Jul 19;2022(7):rjac341. doi: 10.1093/jscr/rjac341. eCollection 2022 Jul.

Abstract

Laparoscopic sleeve gastrectomy has been widely accepted and adopted as a weight loss procedure for obesity. Although technically demanding, it is feasible and can improve patients' overall health. However, any variation from normal anatomy can be challenging for any surgery, especially bariatric surgery, where a mistake could mean going from a life-saving opportunity to costing the patient's life. We present the case of an obese patient who sought medical attention and decided on bariatric surgery. During her preoperative evaluation, situs inversus totalis was discovered. After careful planning, the surgical team completed the surgery without complications, and the patient recovered completely.

摘要

腹腔镜袖状胃切除术作为一种治疗肥胖症的减重手术已被广泛接受和采用。尽管该手术对技术要求较高,但它是可行的,并且能够改善患者的整体健康状况。然而,任何偏离正常解剖结构的情况对于任何手术来说都可能具有挑战性,尤其是减重手术,在这种手术中一个失误可能意味着从挽救生命的机会变成危及患者生命。我们在此呈现一位寻求医疗救治并决定接受减重手术的肥胖患者的病例。在她的术前评估过程中,发现了全内脏反位。经过精心规划,手术团队顺利完成了手术,未出现并发症,患者也完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ca/9296134/0912062decf5/rjac341f1.jpg

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