Akut kolesistiti olan situs inversuslu bir hastada laparoskopik kolesistektomi: Olgu sunumu

Year 2010, Volume: 17 Issue: 2, - , 30.06.2010

Ayper Öngen , Cengiz Öngen

Abstract

Amaç: Situs inversus, nadir görülen, otozomal resesif geçiþ gösteren bir durumdur. Biz burada situs inversus
totalisi olan, akut taþlý kolesistitli bir hastanýn laparoskopik kolesistektomi tekniði ile güvenli olarak tedavi
edilebileceðini göstermek istedik. Yöntem: Klasik laparoskopik kolesistektomideki gibi 10’luk 2 torakar
normal yerlerine yerleþtirildi. 5’lik torakarlar ise klasik yöntemin ayna görüntüsü olarak batýn sol tarafýna
yerleþtirildi. Ýçi taþ ile dolu, hidropik ve ödemli bir safra kesesi çýkarýldý. Sonuç: Semptomatik kolelithiasisi
olan situs inversuslu hastalarda belirli bir deneyim gerekmekle birlikte, laparoskopik kolesistektomi güvenilir
ve kolay uygulanabilir bir yöntemdir.

Anahtar kelimeler: Situs inversus, akut kolesistit, laparoskopik kolesistektomi.

Abstract
Laparoscopic cholecystectomy in a symptomathic cholelithiasis patient with situs inversus: Case report

Purpose: Situs inversus is a rare condition with an otosomal ressesive genetic predisposition. We want to
present a patient with situs inversus totalis and acute cholecystitis who was safely treated via laparoscopic
cholecystectomy.Method: As in a classical laparoscopic technique, two throcars 10 cm in diameter were
inserted in their usual sites. Other two trocars 5 cm in diameter were placed in the mirror image of their
classical sites on the left side of the abdomen. An hydropic and odematose gallbladder was removed.
Result: Laparoscopic cholecystectomy is a safe and easy procedure in symptomathic cholelithiasis patients
with situs inversus.

Key words: situs inversus, acute cholecystitis, laparoscopic cholecystectomy

Keywords

Situs inversus, akut kolesistit, laparoskopik kolesistektomi

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