全内脏转位患者升结肠癌的机器人辅助半结肠切除术
Robotic hemi-colectomy for ascending colon cancer in a patient with situs inversus totalis.
作者信息
Kato Junki, Hirokawa Takahisa, Kobayashi Kenji, Tanaka Moritsugu, Kimura Masahiro
机构信息
Division of Gastroenterological Surgery, Kariya Toyota General Hospital, 5-15 Sumiyoshi-Cho, Kariya, Aichi, 448-8505, Japan.
出版信息
Surg Case Rep. 2024 Aug 1;10(1):181. doi: 10.1186/s40792-024-01982-y.
BACKGROUND
Situs inversus totalis (SIT) is a rare congenital anomaly in which the thoracic and abdominal cavity structures are completely opposite to normal. Performing robot-assisted surgery in these patients is difficult because of these anomalies. A few reports have described robot-assisted surgery for rectal cancer in patients with SIT, but no reports to date have described robot-assisted surgery for colon cancer.
CASE PRESENTATION
A 74-year-old female presented with abdominal pain and was diagnosed with ascending colon cancer and SIT. We carefully planned the surgical procedure and performed robot-assisted hemi-colectomy. Although we used unusual port placement, the operation was performed safely. The patient was discharged without any complications.
CONCLUSIONS
Robot-assisted surgery is safe and efficient for patients with anatomical anomalies.
背景
全内脏反位（SIT）是一种罕见的先天性异常，胸腔和腹腔结构与正常情况完全相反。由于这些异常，在这些患者中进行机器人辅助手术很困难。有一些报告描述了在SIT患者中进行机器人辅助直肠癌手术，但迄今为止尚无关于机器人辅助结肠癌手术的报告。
病例报告
一名74岁女性因腹痛就诊，被诊断为升结肠癌和SIT。我们仔细规划了手术过程并进行了机器人辅助半结肠切除术。尽管我们采用了不寻常的端口放置方式，但手术仍安全完成。患者出院时没有任何并发症。
结论
机器人辅助手术对于有解剖异常的患者是安全且有效的。
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