全内脏反位患者应用腹腔镜胆囊切除术的疗效及安全性

曹学冬; 宋鑫; 唐睿; 陈晓东; 范清泉; 张海阳

doi:10.12025/j.issn.1008-6358.2023.20231431

全内脏反位患者应用腹腔镜胆囊切除术的疗效及安全性

Efficacy and safety of laparoscopic cholecystectomy in situs inversus totalis

摘要

摘要:
目的探讨腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）应用于全内脏反位患者的效果及安全性。
方法回顾性选择上海中医药大学附属曙光医院2015年3月至2023年7月收治的6例接受LC手术的全内脏反位患者。总结患者临床特征与手术情况。
结果 6例患者中左上腹痛3例、中上腹痛2例、左上腹及中上腹痛1例，均顺利完成LC，手术时间30~60 min，术中平均出血量为（20.0±5.6）mL，无胆管、胃肠道损伤。术后门诊随访半年，患者均恢复良好。
结论腹腔镜胆囊切除术应用于全内脏反位患者有效、安全，建议由经验丰富的医生进行。

Abstract:
Objective To summarize the efficacy and safety of laparoscopic cholecystectomy (LC) for situs inversus totalis (SIT).
Methods The data of 6 SIT patients with gallbladder disease admitted to Shuguang Hospital, Shanghai University of Traditional Chinese Medicine from March 2015 to July 2023 were retrospectively selected. All of them were performed LC, and the symptoms and treatment process were analyzed.
Results Among 6 patients, 3 with left upper abdominal pain, 2 with middle upper abdominal pain, and 1 with left upper and middle upper abdominal pain. LC were successfully performed in 6 SIT patients with gallbladder disease. The operative time was 30-60 minutes and the mean bleeding volume was (20.0±5.6) mL. There was no side injuries of bile duct and gastrointestinal tract during the surgery. 6 patients received outpatient follow-up for half a year and had a good recovery.
Conclusions LC is efficient and safety in SIT patients, and it is recommended to be performed by experienced surgeons.

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