Major abdominal surgery under locoregional anesthesia in a patient with primary ciliary dyskinesia: Clinical case

Surgery Case Reports Pub Date : 2024-06-10 DOI:10.1016/j.sycrs.2024.100032

Filomena Fabiana Di Monte , Giulia Turri , Angelo Di Vittori , Ernesto De Giulio , Noemi Bicelli , Giacomo Faccioli , Ruben Sciortino , Alessandro Valdegamberi , Andrea Ruzzenente , Corrado Pedrazzani

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Abstract

Laparoscopic surgery currently represents the standard approach in colorectal cancer. However, it requires general anesthesia and pneumoperitoneum, which may be contraindicated in patients with impaired lung function. We hereby present a case of tailored minimally invasive surgery for an ascending colon cancer in a patient with Primary Ciliary Dyskinesia, situs inversus totalis, and end-stage lung disease. The surgery was conducted through a 13 cm left transverse incision under locoregional anesthesia, and the patient made an uneventful recovery despite her pre-existing comorbidities. This case proves the importance of tailored surgical and anesthesiologic management to provide good oncological outcomes to all cancer patients.

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原发性睫状肌运动障碍患者在局部麻醉下进行腹部大手术：临床病例

腹腔镜手术是目前治疗结直肠癌的标准方法。然而，腹腔镜手术需要全身麻醉和腹腔积气，对于肺功能受损的患者可能是禁忌症。我们在此介绍一例为原发性睫状肌运动障碍、全坐位不全和终末期肺病患者量身定制的升结肠癌微创手术。手术是在局部麻醉下通过一个 13 厘米的左侧横切口进行的，尽管患者之前患有多种并发症，但手术后恢复顺利。该病例证明，为所有癌症患者提供良好的肿瘤治疗效果，量身定制的手术和麻醉管理非常重要。

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Surgery Case Reports

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