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病例报告:全内脏转位患者肝脏右后叶肿瘤的腹腔镜切除术。

Case Report: Laparoscopic resection of a tumor in the right posterior lobe of the liver in a patient with situs inversus totalis.

作者信息

Yang Bin, Luo Xin, Mao Genjun

机构信息

Department of Hepatopancreatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua Municipal Central Hospital, Jinhua, Zhejiang, China.

出版信息

Front Oncol. 2025 Mar 25;15:1513584. doi: 10.3389/fonc.2025.1513584. eCollection 2025.

Abstract

BACKGROUND

Liver cancer poses a major health burden worldwide. Therefore, surgical resection is an important treatment option for patients with liver cancer. In situs inversus totalis (SIT), a rare genetic condition, organs such as the heart, liver, spleen, and stomach are unpaired in the chest and abdominal cavity and their positions are opposite their usual positions.

CASE PRESENTATION

We report a case of SIT with a tumor in the right posterior lobe of the liver in a 70-year-old man. This patient was successfully treated with laparoscopic resection.

CONCLUSIONS

This case emphasizes that laparoscopic hepatectomy, comprising comprehensive preoperative preparation and fine intraoperative cooperation, is safe and feasible in patients with SIT.

摘要

背景

肝癌在全球范围内构成了重大的健康负担。因此,手术切除是肝癌患者的重要治疗选择。在全内脏反位(SIT)这种罕见的遗传疾病中,心脏、肝脏、脾脏和胃等器官在胸腔和腹腔内不成对,且其位置与正常位置相反。

病例报告

我们报告一例70岁男性全内脏反位且肝脏右后叶有肿瘤的病例。该患者通过腹腔镜切除获得成功治疗。

结论

该病例强调,包括全面的术前准备和精细的术中配合的腹腔镜肝切除术,对于全内脏反位患者是安全可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc8/11975592/e996c164afd7/fonc-15-1513584-g001.jpg

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