Robotic the primary suture of choledocholithotomy in a patient with situs inversus totalis

doi:10.3877/cma.j.issn.1674-6899.2021.06.010

Abstract

Abstract:

Objective

To explore the feasibility and advantages of using robotic surgery system for the primary suture of choledocholithotomy in a patient with situs inversus totalis.

Methods

A case of choledocholithotomy in a patient with situs inversus totalis was admitted in Nov.2020.A 62-year-old man found cholangiolithiasis by the abdominal MRI. Multiple stones in the intrahepatic bile duct and lower segment of the common bile duct with dilated biliary system; Cholecystolithiasis with cholecystitis. The primary suture of choledocholithotomy under general anesthesia assisted by da Vinci Xi (P8). The intraoperative bleeding, wound healing, surgical complications, patient recovery and patient satisfaction were evaluated.

Results

The operation was uneventful. The patient had less intraoperative bleeding and recovered well postoperatively, without intra-abdominal bleeding, infection and no surgical complications occurred. The patient was satisfied with the surgery.

Conclusions

Robotic the primary suture of choledocholithotomy in a patient with situs inversus totalis has a higher definition of surgical field, safe and precise surgical operation than conventional laparoscopy. Da Vinci robot surgical system can clearly show the anatomical structure, avoid mode of thinking, ensure surgical safety.

Key words: Situs inversus, Robotic surgery, Laparoscopic, Cholangiolithiasis

Yuhua Lu, Qiyang Chen, Qingsong Guo, Yan Huang, Shajun Zhu, Zhiwei Wang. Robotic the primary suture of choledocholithotomy in a patient with situs inversus totalis[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(06): 365-367.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.06.010

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References 11

1	Andrews J, Farrell S. Spontaneous bilateral tubal pregnancies: a case report[J]. J Obstet Gynaecol Can, 2008，30(1):51-54.
2	袁宝花．双侧输卵管同时异位妊娠破裂1例[J]．包头医学院学报，2013，29(2):3,9.
3	Nursal TZ, Baykal A, Iret D, et al. Laparoscopic cholecystectomy in a patient with situs inversus totalis[J]. J Laparoendosc Adv Surg Tech A, 2001，11(4):239-241.
4	Haruki T, Maeta Y, Nakamura S, et al. Advanced cancer with situs inversus totalis associated with KIF3 complex deficiency: report of two cases[J]. Surg Today, 2010，40(2):162-166.
5	董家鸿，田远虎．肝胆管结石外科治疗进展[J/CD]．中华普外科手术学杂志(电子版)，2012，6(4):340-344.
6	Chandraraj S. Observations on some additional abnormalities in situs inversus viscerum[J]. J Anat, 1976，122(2):377-388.
7	陈大伟，黄侠，黄磊，等．内脏完全反位腹腔镜胆囊切除术：附2例报告[J]．中国微创外科杂志，2016，16(5):478-480.
8	杨先芬，陈西兰，周启超，等．全内脏反位合并胰头癌一例[J]．肝胆胰外科杂志，2016，28(4):342-342.
9	Jung M, Morel P, Buehler L, et al. Robotic general surgery: current practice，evidence，and perspective[J]. Langenbecks Arch Surg, 2015，400(3):283-292.
10	吴硕东，于宏，王昊霖，等．Oddi括约肌与胆管色素结石形成关系的探讨[J]．中华外科杂志，2007，45(1):58-61.
11	Liang T, Su W, Zhang Q, et al. Roles of sphincter of oddi laxity in bile duct microenvironment in patients with cholangiolithia- sis: from the perspective of the microbiome and metabolome[J]. J Am Coll Surg, 2016，222(3):269-280.

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