Simultaneous laparoscopic sleeve gastrectomy with cholecystectomy in a patient with complete situs viscerus inversus
https://doi.org/10.17238/2072-3180-2023-43-49
Abstract
Introduction. The reverse arrangement of the internal organs (situs viscerus inversus) or transposition of the internal organs is a rare genetic autosomal recessive disease characterized by a mirror arrangement of the internal organs relative to the sagittal axis of the body. On a clinical example, the authors present an algorithm for preoperative examination and a feature of performing laparoscopic longitudinal resection of the stomach and one-stage cholecystectomy in the presence of situs viscerus inversus.
Description of the clinical case. A clinical case of a 45-year-old patient hospitalized for bariatric intervention is presented. At the stage of preoperative examination, as a find, a complete reverse arrangement of internal organs was revealed. In addition to routine examinations, the patient underwent MSCT of the abdominal organs. The patient was successfully performed laparoscopic sleeve resection of the stomach with simultaneous cholecystectomy. The implementation of the intervention itself required the mirror installation of endoscopic trocars, however, there was a clear preservation of anatomical landmarks. The stages of the operation and the performance of technical techniques did not differ radically from those in the “normal” arrangement of organs. The experience of performing these surgical interventions, increased attention and careful execution of all stages of the operation made it possible to avoid complications. The patient was discharged on the 5th day after the operation. Examined 2,5 months after the operation. He does not complain. Strictly observes the diet, takes vitamin and mineral complexes. The weight loss was 15 kg.
About the Authors
D. V. Savin
Orenburg State Medical University of the Ministry of Health of the Russian Federation; N.I. Pirogov City Clinical Hospital
Russian Federation
Russian Federation
Savin Dmitry Vladimirovich – Candidate of Medical Sciences, Associate Professor of the Department of Faculty Surgery; Deputy Chief Physician for Surgery
460000, Orenburg, Sovetskaya street, 6
140 V Pobedy Ave., Orenburg, 460048
I. N. Borodkin
Orenburg State Medical University of the Ministry of Health of the Russian Federation; N.I. Pirogov City Clinical Hospital
Russian Federation
Russian Federation
Borodkin Ivan Nikolaevich – Candidate of Medical Sciences, Assistant of the Department of Faculty Surgery; Head of the Endoscopy Department
460000, Orenburg, Sovetskaya street, 6
140 V Pobedy Ave., Orenburg, 460048
E. A. Sinelshchikov
N.I. Pirogov City Clinical Hospital
Russian Federation
Russian Federation
Sinelshchikov Evgeny Andreevich – Candidate of Medical Sciences, surgeon
140 V Pobedy Ave., Orenburg, 460048
V. V. Kan
N.I. Pirogov City Clinical Hospital
Russian Federation
Russian Federation
Kan Valentin Vyacheslavovich – a surgeon
140 V Pobedy Ave., Orenburg, 460048
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Review
For citations:
Savin D.V., Borodkin I.N., Sinelshchikov E.A., Kan V.V. Simultaneous laparoscopic sleeve gastrectomy with cholecystectomy in a patient with complete situs viscerus inversus. Moscow Surgical Journal. 2023:43-49. (In Russ.) https://doi.org/10.17238/2072-3180-2023-43-49
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