| 篇名 |
Robotic pancreaticoduodenectomy in a patient with situs inversus totalis and variant celiacomesenteric trunk |
| 作者 |
Bor‑Shiuan Shyr, Bor‑Uei Shyr, Shih‑Chin Chen, Yi‑Ming Shyr, Shin‑E Wang |
| 卷期/出版年月 |
55卷2期 (2022/4) |
| 頁次 |
56-59 |
| 摘要 |
Situs inversus totalis (SIT) is a rare congenital anomaly characterized by right–left reversal of visceral organs and dextrocardia; the use of robotic pancreaticoduodenectomy (RPD) may be challenging in these patients.
A male patient presented with jaundice; imaging studies revealed a bile duct tumor and SIT with variant celiacomesenteric trunk and multiple vascular anomalies. RPD was carried out cautiously and successfully.
The trocar port design mirrored that of a normal patient. Pathological examination revealed extrahepatic bile duct adenocarcinoma, classified as pT3N1M0, stage IIB. The patient recovered uneventfully. Although difficult, RPD is technically feasible in an SIT patient with cholangiocarcinoma. |
| 關鍵詞 |
Cholangiocarcinoma, pancreaticoduodenectomy, robotic, situs inversus totalis |
| 分類 |
Case Report |
