全内脏反位患者行单孔左肺中叶切除术：病例报告。
Uniportal left middle lobectomy in a patient with situs inversus totalis: a case report.
机构信息
Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, 215000, China.
Institute of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
出版信息
J Cardiothorac Surg. 2024 Sep 19;19(1):534. doi: 10.1186/s13019-024-03098-8.
BACKGROUND
Situs inversus totalis (SIT), a rare recessive autosomal disease, involves the complete transposition of the thoracic and abdominal viscera in the left-right axis. Patients with SIT combined with lung cancer are extremely uncommon.
CASE PRESENTATION
We present a case of a 57-year-old woman with SIT who underwent uniportal video-assisted thoracoscopic left middle lobectomy for adenocarcinoma of the lung. The procedure was performed safely with adequate anatomical identification and careful intraoperative manipulation based on the preoperative three-dimensional-computed tomography bronchography and angiography (3D-CTBA). The patient's perioperative period was uneventful, and no recurrence was observed 2 year postoperatively.
CONCLUSION
With the preoperative planning of the 3D-CTBA, uniportal video-assisted thoracoscopic lobectomy in lung cancer patients with sit can be performed safely and effectively.
背景
全内脏反位（SIT）是一种罕见的隐性常染色体疾病，涉及胸腔和腹腔内脏在左右轴线上的完全易位。SIT 合并肺癌的患者极为罕见。
病例介绍
我们报告了一例 57 岁女性 SIT 患者，她因肺腺癌接受了单端口电视辅助胸腔镜左肺中叶切除术。该手术在术前三维计算机断层支气管造影和血管造影（3D-CTBA）的基础上，通过充分的解剖识别和仔细的术中操作安全完成。患者围手术期无并发症，术后 2 年无复发。
结论
通过 3D-CTBA 的术前规划，可安全有效地对 SIT 肺癌患者进行单端口电视辅助胸腔镜肺叶切除术。
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