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镜像右位心患者的腹腔镜胆囊切除术:病例报告及文献综述

Laparoscopic Cholecystectomy in a Patient With Situs Inversus: A Case Report and Literature Review.

作者信息

Song Jennifer, Fincher Robert, McCool Michael, McCague Andrew, Wisniewski Paul

机构信息

Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, USA.

Trauma, Desert Regional Medical Center, Palm Springs, USA.

出版信息

Cureus. 2023 Dec 15;15(12):e50598. doi: 10.7759/cureus.50598. eCollection 2023 Dec.

Abstract

Situs inversus (SI) is an autosomal recessive congenital abnormality in which there is a complete mirror reversal of visceral organs. In this article, we present the case of a 26-year-old male with a past medical history of suicidal ideations, gallstones, and SI who complained of left upper quadrant pain for two weeks. After admission for acute cholecystitis, he underwent a successful laparoscopic cholecystectomy without postoperative complications. Due to the anatomical deviation characteristic of SI, it can be challenging for surgeons to accurately diagnose and perform laparoscopic cholecystectomies. Careful consideration must be given when deciding to do a laparoscopic cholecystectomy, as the placement of not only the trocars and surgical instruments but also the position of the surgeon and assistants needs to be deliberated.

摘要

内脏反位是一种常染色体隐性先天性异常,其中内脏器官完全呈镜像反转。在本文中,我们报告了一例26岁男性病例,其既往有自杀意念、胆结石和内脏反位病史,主诉左上腹疼痛两周。因急性胆囊炎入院后,他成功接受了腹腔镜胆囊切除术,术后无并发症。由于内脏反位的解剖学偏差特征,外科医生准确诊断并进行腹腔镜胆囊切除术可能具有挑战性。决定进行腹腔镜胆囊切除术时必须谨慎考虑,因为不仅要考虑套管针和手术器械的放置,还要考虑外科医生和助手的位置。

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