Department of Surgery, Holy Family Hospital, Namsauy St. 1, Nazareth, Israel.
The Azrieli, Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Obes Surg. 2023 Nov;33(11):3628-3635. doi: 10.1007/s11695-023-06847-1. Epub 2023 Oct 6.
Laparoscopic surgery in patients with obesity with situs inversus (SI) may pose interesting challenges to diagnosing and managing due to the mirror image anatomy. Since in SI patient's organs are displaced, the surgery requires high levels of precision and hand-eye coordination. SI and bariatric surgery may pose challenges for the surgical team. A total of 46 patients were reported in this systematic review. The mean age of cases was ~39 years (range 19-59), and the mean BMI was 45.9 kg/m (range 35-76). Of the included 46 patients, 39 had SIT. In the majority of the included patients, either a laparoscopic Roux-en-Y gastric bypass (LRYGB) (in 15 patients (35%)) or a laparoscopic sleeve gastrectomy (LSG) (in 21 patients (45.6%)) was performed. Complications were documented in 3 cases.
腹腔镜手术在镜面人（内脏反位）肥胖患者中可能会因为镜像解剖结构而在诊断和管理方面带来有趣的挑战。由于 SI 患者的器官移位，手术需要高度的精确性和手眼协调能力。SI 和减重手术可能会给手术团队带来挑战。本系统综述共报道了 46 例患者。病例的平均年龄约为 39 岁（范围 19-59 岁），平均 BMI 为 45.9 kg/m（范围 35-76）。在纳入的 46 例患者中，39 例有 SIT。在大多数纳入的患者中，进行了腹腔镜 Roux-en-Y 胃旁路术（LRYGB）（在 15 例患者（35%）中）或腹腔镜袖状胃切除术（LSG）（在 21 例患者（45.6%）中）。有 3 例患者记录了并发症。
