Endoscopic reverse biliary tract stent placement via choledochus in treatment of situs inversus totalis complicated with choledocholithiasis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HU Jike ¹ , LI Xuemei ¹ , GU Baohong ¹ , ZHANG Fan ¹ , WANG Bofang ¹ , FENG Zedong ¹ , WEI Yucai ² ,  CHEN Hao ²

1. Lanzhou University Second School of Clinical Medicine, Lanzhou 730000, P. R. China;
2. Department of Tumor Surgery, Lanzhou University Second Hospital, Lanzhou 730000, P. R. China;

Corresponding author：

CHEN Hao, Email: chenhaodrs@163.com

Keywords：

situs inversus; cholangiolithiasis; choledocholithotomy; cholangioscope; holmium laser lithotripsy; endoscopic retrograde cholangiopancreatography

DOI：

10.7507/1007-9424.201807032

Video：

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Objective To summarize experience of endoscopic reverse biliary tract stent placement via choledochus in treatment of situs inversus totalis complicated with choledocholithiasis.Method The clinical data of one patient with situs inversus totalis complicated with choledocholithiasis in the Department of Tumor Surgery of Lanzhou University Second Hospital were retrospectively analyzed.Results The ERCP was failed at the first admission, followed by the cholecystectomy plus choledocholithotomy plus T-tube drainage, the stones were removed. Two months later, choledochoscopy revealed multiple choledocholithiasis, then the holmium laser lithotripsy and bile duct stent placement was performed at the secondary admission, the postoperative recovery was good, it had been more than 2 months after the surgery, no stone recurrence occurred.Conclusion Endoscopic reverse biliary tract stent placement via choledochus is feasible, which can be used as an option for treatment of patient with situs inversus totalis complicated with choledocholithiasis.

Citation： HU Jike, LI Xuemei, GU Baohong, ZHANG Fan, WANG Bofang, FENG Zedong, WEI Yucai, CHEN Hao. Endoscopic reverse biliary tract stent placement via choledochus in treatment of situs inversus totalis complicated with choledocholithiasis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 326-329. doi: 10.7507/1007-9424.201807032 Copy

1.	Cleveland M. Situs inversus viscerum: Anatomic study. Arch Surg, 1926, 13(3): 343-368.
2.	Varano NR, Merklin RJ. Situs inversus: review of the literature, report of four cases and analysis of the clinical implications. J Int Coll Surg, 1960, 33: 131-148.
3.	刘伟, 江志强. 全内脏反位腹腔镜下左肝及胆囊切除 1 例报告. 中国普外基础与临床杂志, 2006, 13(4): 458.
4.	Lipschutz JH, Canal DF, Hawes RH, et al. Laparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroenterol, 1992, 87(2): 218-220.
5.	McDermott JP, Caushaj PF. ERCP and laparoscopic cholecystectomy for cholangitis in a 66-year-old male with situs inversus. Surg Endosc, 1994, 8(10): 1227-1229.
6.	胡兵, 唐承薇. 内镜治疗胆总管结石伴全内脏异位一例. 中华消化内镜杂志, 2005, 22(1): 67.
7.	卢军华, 杨田, 唐俊, 等. 肝切除治疗复杂肝内胆管结石伴全内脏反位一例. 中华外科杂志, 2008, 46(20): 1600.
8.	金慧涵, 华志元, 季沅. 全内脏反位腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石 1 例分析. 中国误诊学杂志, 2010, 10(33): 8155.
9.	Lee JH, Kang DH, Park JH, et al. Endoscopic removal of a bile-duct stone using sphincterotomy and a large-balloon dilator in a patient with situs inversus totalis. Gut Liver, 2010, 4(1): 110-113.
10.	周陈杰, 王友顺. " 镜面人”行肝脏部分切除、胆肠吻合术 1 例. 实用医学杂志, 2010, 26(8): 1450.
11.	Kamani L, Kumar R, Mahmood S, et al. Therapeutic ERCP in patient with situs inversus totalis and ampullary diverticulum. J Coll Physicians Surg Pak, 2014, 24(5): 365-366.
12.	Reddy A, Paramasivam S, Alexander N, et al. Management of a patient with situs inversus totalis with acute cholecystitis and common bile duct stones: A case report. Int J Surg Case Rep, 2014, 5(11): 821-823.
13.	胡鹏, 王卫星, 李晨, 等. 内脏反位并胆囊、胆总管结石手术治疗 1 例并文献复习. 中国普通外科杂志, 2015, 24(8): 1187-1190.
14.	王玲玲, 林敏华, 叶丽萍, 等. 内镜下十二指肠乳头小切开联合气囊扩张治疗内脏反位合并胆总管结石二例. 中华消化内镜杂志, 2015, 32(8): 564-565.
15.	李可为. 上海交通大学医学院附属仁济医院李可为团队为罕见" 镜面人”成功取石. 上海交通大学学报 (医学版), 2016, 36(3): 410.
16.	Lee JM, Lee JM, Hyun JJ, et al. Successful access to the ampulla for endoscopic retrograde cholangiopancreatography in patients with situs inversus totalis: a case report. BMC Surg, 2017, 17(1): 112.
17.	Téllez-Ávila FI, Pattel S, Duarte-Medrano G, et al. A challenging case of giant biliary stones in a patient with situs inversus totalis: conventional ERCP combined with intraductal cholangioscopy and laser lithotripsy. Endoscopy, 2017, 49(10): E248-E249.
18.	郑楚发, 王小忠, 黄耀奎, 等. 腹腔镜胆总管探查术治疗胆总管结石. 中华肝胆外科杂志, 2016, 22(6): 378-381.
19.	唐寒秋, 李晓涛, 龙雪艳. 腹腔镜胆总管探查术治疗复杂性肝胆管结石的安全性及对患者生存质量的影响. 医学综述, 2016, 22(20): 4143-4145.
20.	陈永标, 池小斌, 江艺, 等. 腹腔镜肝切除联合胆道镜治疗肝内外胆管结石 36 例. 中国微创外科杂志, 2016, 16(9): 777-779.
21.	童里, 耿小平, 谢坤, 等. 肝内外胆管结石多次手术原因及预后分析. 中华消化外科杂志, 2016, 15(4): 368-373.
22.	杨旭萍. 腹腔镜联合术中胆道镜经胆囊管胆道探查取石技巧. 中国实用医药, 2016, 11(26): 144-145.
23.	方骏, 姚惠明, 曹立俊. 经内镜逆行胰胆管造影术困难取石中胆道支架内引流术的应用效果. 全科医学临床与教育, 2017, 15(1): 82-83.
24.	刘彦伯, 吴硕东, 唐少珊. 超声下经 ENBD 注入生理盐水辅助观察胆总管残余结石的临床研究. 中国微创外科杂志, 2017, 17(11): 990-994.
25.	邵明山, 李军, 李能平. 内镜下不同大小气囊十二指肠乳头扩张术治疗胆总管结石的近期疗效. 中国内镜杂志, 2017, 23(5): 23-27.

1. Cleveland M. Situs inversus viscerum: Anatomic study. Arch Surg, 1926, 13(3): 343-368.
2. Varano NR, Merklin RJ. Situs inversus: review of the literature, report of four cases and analysis of the clinical implications. J Int Coll Surg, 1960, 33: 131-148.
3. 刘伟, 江志强. 全内脏反位腹腔镜下左肝及胆囊切除 1 例报告. 中国普外基础与临床杂志, 2006, 13(4): 458.
4. Lipschutz JH, Canal DF, Hawes RH, et al. Laparoscopic cholecystectomy and ERCP with sphincterotomy in an elderly patient with situs inversus. Am J Gastroenterol, 1992, 87(2): 218-220.
5. McDermott JP, Caushaj PF. ERCP and laparoscopic cholecystectomy for cholangitis in a 66-year-old male with situs inversus. Surg Endosc, 1994, 8(10): 1227-1229.
6. 胡兵, 唐承薇. 内镜治疗胆总管结石伴全内脏异位一例. 中华消化内镜杂志, 2005, 22(1): 67.
7. 卢军华, 杨田, 唐俊, 等. 肝切除治疗复杂肝内胆管结石伴全内脏反位一例. 中华外科杂志, 2008, 46(20): 1600.
8. 金慧涵, 华志元, 季沅. 全内脏反位腹腔镜联合纤维胆道镜治疗胆囊结石合并胆总管结石 1 例分析. 中国误诊学杂志, 2010, 10(33): 8155.
9. Lee JH, Kang DH, Park JH, et al. Endoscopic removal of a bile-duct stone using sphincterotomy and a large-balloon dilator in a patient with situs inversus totalis. Gut Liver, 2010, 4(1): 110-113.
10. 周陈杰, 王友顺. " 镜面人”行肝脏部分切除、胆肠吻合术 1 例. 实用医学杂志, 2010, 26(8): 1450.
11. Kamani L, Kumar R, Mahmood S, et al. Therapeutic ERCP in patient with situs inversus totalis and ampullary diverticulum. J Coll Physicians Surg Pak, 2014, 24(5): 365-366.
12. Reddy A, Paramasivam S, Alexander N, et al. Management of a patient with situs inversus totalis with acute cholecystitis and common bile duct stones: A case report. Int J Surg Case Rep, 2014, 5(11): 821-823.
13. 胡鹏, 王卫星, 李晨, 等. 内脏反位并胆囊、胆总管结石手术治疗 1 例并文献复习. 中国普通外科杂志, 2015, 24(8): 1187-1190.
14. 王玲玲, 林敏华, 叶丽萍, 等. 内镜下十二指肠乳头小切开联合气囊扩张治疗内脏反位合并胆总管结石二例. 中华消化内镜杂志, 2015, 32(8): 564-565.
15. 李可为. 上海交通大学医学院附属仁济医院李可为团队为罕见" 镜面人”成功取石. 上海交通大学学报 (医学版), 2016, 36(3): 410.
16. Lee JM, Lee JM, Hyun JJ, et al. Successful access to the ampulla for endoscopic retrograde cholangiopancreatography in patients with situs inversus totalis: a case report. BMC Surg, 2017, 17(1): 112.
17. Téllez-Ávila FI, Pattel S, Duarte-Medrano G, et al. A challenging case of giant biliary stones in a patient with situs inversus totalis: conventional ERCP combined with intraductal cholangioscopy and laser lithotripsy. Endoscopy, 2017, 49(10): E248-E249.
18. 郑楚发, 王小忠, 黄耀奎, 等. 腹腔镜胆总管探查术治疗胆总管结石. 中华肝胆外科杂志, 2016, 22(6): 378-381.
19. 唐寒秋, 李晓涛, 龙雪艳. 腹腔镜胆总管探查术治疗复杂性肝胆管结石的安全性及对患者生存质量的影响. 医学综述, 2016, 22(20): 4143-4145.
20. 陈永标, 池小斌, 江艺, 等. 腹腔镜肝切除联合胆道镜治疗肝内外胆管结石 36 例. 中国微创外科杂志, 2016, 16(9): 777-779.
21. 童里, 耿小平, 谢坤, 等. 肝内外胆管结石多次手术原因及预后分析. 中华消化外科杂志, 2016, 15(4): 368-373.
22. 杨旭萍. 腹腔镜联合术中胆道镜经胆囊管胆道探查取石技巧. 中国实用医药, 2016, 11(26): 144-145.
23. 方骏, 姚惠明, 曹立俊. 经内镜逆行胰胆管造影术困难取石中胆道支架内引流术的应用效果. 全科医学临床与教育, 2017, 15(1): 82-83.
24. 刘彦伯, 吴硕东, 唐少珊. 超声下经 ENBD 注入生理盐水辅助观察胆总管残余结石的临床研究. 中国微创外科杂志, 2017, 17(11): 990-994.
25. 邵明山, 李军, 李能平. 内镜下不同大小气囊十二指肠乳头扩张术治疗胆总管结石的近期疗效. 中国内镜杂志, 2017, 23(5): 23-27.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Endoscopic reverse biliary tract stent placement via choledochus in treatment of situs inversus totalis complicated with choledocholithiasis

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