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首页> 外文期刊>World Journal of Gastroenterology >Laparoscopic cholecystectomy in a patient with situs inversus totalis.
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Laparoscopic cholecystectomy in a patient with situs inversus totalis.

机译：腹股沟总位反转患者的腹腔镜胆囊切除术。

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Currently, laparoscopic cholecystectomy is an undoubtfully optimal treatment of cholelithiasis. What about performing this procedure on a patient with situs inversus totalis and what are the difficulties of this operation for a right-handed surgeon? We presented a 35-year-old man with unknown situs inversus totalis who was admitted with epigastric pain and digestive problems. Ultrasonography and computed tomography of the abdomen confirmed the diagnosis of a gallstone. Besides, the liver and gallbladder were on the left side and the spleen was on the right. All systems were left-right reversal as mirror image in all diagnostic studies. Laparoscopic cholecystectomy was safely performed, despite of difficulties of situs inversus. The patient was discharged on postoperative day 1. It should be considered that existence of other anomalies may easily cause uninvited injuries. In the patients with situs inversus, laparoscopic cholecystectomy can be safely managed by an experienced surgeon through laparoscopy, and also hepatobiliary surgery.
机译：目前，腹腔镜胆囊切除术无疑是胆石症的最佳治疗方法。对具有总位置反转的患者执行此过程如何？对于惯用右手的外科医生来说，该手术有哪些困难？我们介绍了一个35岁的男子，其总位置未知，但因上腹部疼痛和消化系统疾病而入院。腹部超声检查和计算机断层扫描证实了胆结石的诊断。此外，肝脏和胆囊在左侧，脾脏在右侧。在所有诊断研究中，所有系统都是左右颠倒的镜像。尽管存在逆位困难，但腹腔镜胆囊切除术还是安全的。病人在术后第1天出院。应考虑存在其他异常情况，很容易造成意外伤害。对于患有逆位的患者，经验丰富的外科医生可通过腹腔镜检查以及肝胆外科手术安全地进行腹腔镜胆囊切除术。

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