全内脏反位患者的腹腔镜袖状胃切除术：一例报告
Laparoscopic sleeve gastrectomy in situs inversus totalis: a case report.
作者信息
Ortiz Gómez Jesús E, Arellanes Herrera Paloma S, Guzmán Barba José A, Esparza Estrada Isaac, Orozco Álvarez Malo José O
机构信息
Elias Ortiz & Company Mexico Weight Loss Specialists.
Colegio de Cirujanos Bariatras y Enfermedades Metabólicas del Estado de Baja California, Tijuana, Baja California, Mexico.
出版信息
Ann Med Surg (Lond). 2023 Feb 7;85(2):276-279. doi: 10.1097/MS9.0000000000000185. eCollection 2023 Feb.
UNLABELLED
Obesity and being overweight are defined as abnormal and excessive fat accumulation, respectively. Obesity is defined as a BMI of 30 or higher. Sleeve gastrectomy, the most commonly performed bariatric surgery worldwide, is an effective treatment for obesity and its comorbidities. However, some cases, such as situs inversus, may present additional challenges for surgeons.
CASE PRESENTATION
The authors present the case of a 28-year-old female scheduled for gastric sleeve surgery with a BMI of 49. During the preoperative evaluation, dextrocardia was evident, and a diagnosis of situs inversus totalis was made. The surgery was performed without complications in a high-volume hospital specializing in bariatric surgery.
CLINICAL DISCUSSION
Gastric sleeve surgery should be considered an effective and safe procedure in such patients as long as the surgeon is prepared, makes technical adjustments with their team, and has the necessary experience.
CONCLUSION
Laparoscopic gastric sleeve surgery is a safe procedure in patients with situs inversus, as long as it is performed by an experienced surgeon.
未标注
肥胖和超重分别被定义为异常和过度的脂肪堆积。肥胖被定义为体重指数（BMI）达到30或更高。袖状胃切除术是全球最常施行的减肥手术，是治疗肥胖及其合并症的有效方法。然而，某些情况，如内脏反位，可能会给外科医生带来额外挑战。
病例介绍
作者介绍了一例28岁女性患者，其BMI为49，计划接受袖状胃手术。在术前评估中，明显存在右位心，并诊断为完全性内脏反位。该手术在一家专门从事减肥手术的大型医院顺利进行，未出现并发症。
临床讨论
只要外科医生做好准备，与团队进行技术调整并具备必要经验，袖状胃手术在这类患者中应被视为一种有效且安全的手术。
结论
只要由经验丰富的外科医生进行，腹腔镜袖状胃手术对内脏反位患者是一种安全的手术。
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