全内脏转位的腹腔镜胆囊切除术4例报告

Laparoscopic cholecystectomy in total situs inversus viscerum patients:4 cases reports

目的：探讨全内脏转位并胆囊结石患者施行腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）的可行性及手术方法。方法：对1992年10月～2006年10月施行的8256例LC中遇到的4例全内脏转位患者的临床资料进行回顾性总结。结果：4例全内脏转位患者均采用3孔法完成LC术，无中转开腹，全组患者术后均未放置腹腔引流管，恢复良好。结论：全内脏转位合并胆囊结石或胆囊息肉患者行LC是安全可行的，可与常规LC取得同样满意的临床效果。

Objective：To discuss the feasibility and surgical methods of laparoscopic cbolecystectomy in total situs inversus viscerum patients. Methods ： A retrospective summary to all the clinical data from 4 cases in 8 256 clinical cases of the chairman situs inversus during Oct. 1992 to Oct. 2006. Results：All the 4 cases of total situs inversus viscerum used three-port-looping holes in LC. without converting to open procedure, without placing the peritoned drainage in 4 cases and all the patients recovered well. Condusions：h is feasible and safe to peform LC in total situs inversus viscerum patients,which can be completed satisfactory as same as conventional LC.