Situs inversus totalis tanılı hastada laparoskopik kolesistektomi

Mehmet ULUŞAHİN, Arif Burak ÇEKİÇ, Reyyan YILDIRIM, Serdar TÜRKYILMAZ
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Abstract

Situs inversus totalis is a rare clinical condition which the organs of the chest and abdomen are arranged in a perfect mirror image reversal of the normal positioning. In this paper, we presented a case of 44-year old female with situs inversus totalis who underwent laparoscopic cholecystectomy due to multiple attacks of cholecystitis and gallbladder stones. Operation was performed after operation team and placement of operation table had been modified due to patient with situs inversus totalis. No pathology was observed intraoperatively. Patient was discharged at next day after postoperative monitoring in clinic without any complication. Laparoscopic cholecystectomy is prone to complications in patients with situs inversus totalis due to reversely placed organs. This operation must be performed by experienced surgeons with maximum care.
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为一名全瘫患者实施腹腔镜胆囊切除术
完全性倒位是一种罕见的临床病症,它是指胸腹各脏器的位置与正常位置完全相反。在本文中,我们报告了一例44岁的女性,由于胆囊炎和胆囊结石的多次发作,她接受了腹腔镜胆囊切除术。因患者完全性倒位改变手术组及手术台位置后行手术。术中未见病理变化。术后临床监护,次日出院,无并发症。由于脏器位置相反,腹腔镜胆囊切除术容易出现并发症。这个手术必须由经验丰富的外科医生非常小心地进行。
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