Situs İnversus Totalis Tanılı Hastada Laparoskopik Kolesistektomi

Year 2024, Volume: 3 Issue: 1, 24 - 27, 30.03.2024

Mehmet Uluşahin Arif Burak Çekiç Reyyan Yıldırım Serdar Türkyılmaz

https://doi.org/10.59518/farabimedj.1261743

Abstract

Situs inversus totalis (SİT) otozomal resesif geçiş gösteren, visseral organların ayna görüntüsü şeklinde yer değiştirdiği nadir bir klinik durumdur. Bu yazıda SİT tanısı olan 44 yaşında bir bayan hastada geçirilmiş kolesistit atakları ve safra kesesi taşı nedeni ile uygulanan laparoskopik kolesistektomi (LK) vakası sunulmuştur. Hastanın SİT olması nedeni ile operasyon ekibi ve ameliyat masasının yerleşimi modifiye edilerek operasyon gerçekleştirildi. Ameliyat esnasında herhangi bir olumsuz durum ile karşılaşılmadı. Postoperatif servis takiplerinde herhangi bir komplikasyon ile karşılaşılmayan hasta ertesi gün taburcu edildi. SİT tanılı hastalarda LK organların yer değiştirmiş olması nedeniyle komplikasyonlara açıktır. Bu operasyonlar yeterli tecrübeye sahip cerrahlarca azami dikkat içerisinde gerçekleştirilmelidir.

Keywords

Kolelitiazis, Laparoskopik kolesistektomi, Situs inversus, Sol yerleşimli safra kesesi

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Laparoscopic Colecystectomy in a Patient with Situs Inversus Totalis

Abstract

Situs inversus totalis (SIT) is a rare clinical condition with autosomal recessive inheritance in which visceral organs are replaced as a mirror image. In this paper, we present the case of a 44-year-old female with SIT who underwent laparoscopic cholecystectomy (LC) due to multiple attacks of cholecystitis and gallbladder stones. Since the patient had SIT, the operation was performed by modifying the placement of the operating team and the operating table. No adverse events were encountered during the operation. The patient was discharged the next day without any complications in the postoperative clinic follow-ups. Due to organ displacement, LC in individuals with SIT is susceptible to complications. These operations should be performed with the utmost care by surgeons with sufficient experience.

Keywords

Cholelithiasis, Laparoscopic cholecystectomy, Left-sided gallbladder, Situs inversus

Project Number

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