■全位反位(SIT)是一种罕见的疾病,以镜像解剖为特征,这可能在手术干预中带来独特的挑战和潜在的血管异常,尤其是胃癌患者。
■我们的目的是描述一例SIT患者的胃腺癌的罕见病例,并对现有的有关手术策略的文献进行全面回顾。血管异常,以及在不同的地理区域和技术方法中观察到的结果。
■对一例39岁男性SIT患者进行了全面检查,该患者成功进行了远端胃切除术并进行了D2淋巴结清扫术,并进行了大量文献综述。该评论涵盖47篇文章,整理49例诊断为SIT和胃癌的患者的手术入路和血管异常数据。
■患者在95分钟内接受了根治性远端胃切除术和BillrothII并进行Braun吻合术,发生最小的术中失血(100ml)。术后病理证实为中低分化胃腺癌(pT3N0M0),S-1辅助化疗6个月后无复发或转移迹象。文献综述显示约20%的报告病例血管异常,强调其手术意义。手术策略值得注意的变化,手术时间,失血,观察不同手术方式的并发症,全面了解此类案件的实际管理。
■尽管与SIT相关的固有挑战,通过精心的术前计划和了解血管异常,可以成功应用各种手术技术。这种不同的手术经验的汇编在许多记录的病例中寻求提供一个统一的资源,以完善手术策略和提高SIT胃癌患者的术后结果。强调了在这一生态位领域进行进一步研究的必要性。
UNASSIGNED: Situs inversus totalis (SIT) is an uncommon disorder characterized by mirror-image anatomy, which can present unique challenges and potential vascular anomalies in surgical interventions, particularly in gastric cancer patients.
UNASSIGNED: We aim to delineate a rare case of gastric adenocarcinoma in a SIT patient and conduct a thorough review of the existing literature concerning surgical strategies, vascular anomalies, and outcomes observed across varied geographic locales and technological approaches.
UNASSIGNED: A thorough examination of a case involving a 39-year-old male SIT patient who underwent a successful distal gastrectomy with D2 lymph node dissection is presented alongside an expansive literature review. The review encompasses 47 articles, collating data on surgical approaches and vascular anomalies across 49 patients diagnosed with SIT and gastric cancer.
UNASSIGNED: The patient underwent curative distal gastrectomy and Billroth II with Braun anastomosis within 95 minutes, incurring minimal intraoperative blood loss (100ml). Postoperative pathology confirmed moderately to poorly differentiated gastric adenocarcinoma (pT3N0M0), with no signs of recurrence or metastasis after 6 months of S-1 adjuvant chemotherapy. The literature review revealed vascular anomalies in approximately 20% of reported cases, accentuating its surgical significance. Noteworthy variations in surgical strategies, operative times, blood loss, and complications across different surgical modalities were observed, providing a comprehensive view into the practical management of such cases.
UNASSIGNED: Despite the inherent challenges associated with SIT, various surgical techniques can be successfully applied with meticulous preoperative planning and understanding vascular anomalies. This compilation of diverse surgical experiences across numerous documented cases seeks to provide a consolidated resource for refining surgical strategies and enhancing postoperative outcomes for gastric cancer patients with SIT, underscoring the imperativeness of further research in this niche domain.