Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Urology/Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Transplant Proc. 2023 Oct;55(8):1896-1899. doi: 10.1016/j.transproceed.2023.07.001. Epub 2023 Jul 24.
Situs inversus totalis (SIT) is a rare anatomic anomaly representing 180° inversion of all internal organs. We report a case of laparoscopic living donor nephrectomy in a donor with SIT. A 55-year-old man volunteered to provide a living kidney source for his son. The donor was in good physical condition, with no clinical history of obesity, hypertension, diabetes, and other abnormalities. Preoperative X-ray thoracic and abdominal scans showed that the donor had a total organ transposition inversus. Computed tomographic renal vascular three-dimensional reconstruction scan showed that the patient had 2 left renal arteries and 1 right renal artery. All data collected comply with the Helsinki Congress and the Declaration of Istanbul. We chose to perform a transabdominal route laparoscopic living donor nephrectomy of the right kidney. The donor did not experience operation-related complications and was discharged on the fourth postoperative day. The recipient did not have a rejection reaction, and the recipient recovered successfully. This case illustrates that laparoscopic living donor nephrectomy is fully feasible in this population.
全内脏反位（SIT）是一种罕见的解剖异常，代表所有内部器官的 180°反转。我们报告了一例 SIT 供体腹腔镜活体供肾切除术。一位 55 岁的男子自愿为他的儿子提供一个活体肾脏来源。供体身体状况良好，无肥胖、高血压、糖尿病等异常的临床病史。术前 X 线胸部和腹部扫描显示供体存在全内脏反位。计算机断层扫描肾血管三维重建扫描显示患者有 2 条左肾动脉和 1 条右肾动脉。收集的所有数据均符合赫尔辛基大会和伊斯坦布尔宣言。我们选择经腹腔途径进行腹腔镜右肾活体供肾切除术。供体没有经历与手术相关的并发症，并在术后第 4 天出院。受者没有排斥反应，受者成功康复。该病例表明，腹腔镜活体供肾切除术在该人群中完全可行。
