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.	劉偉, 江志強. 全內臟反位腹腔鏡下左肝及膽囊切除 1 例報告. 中國普外基礎與臨床雜志, 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. 內鏡治療膽總管結石伴全內臟異位一例. 中華消化內鏡雜志, 2005, 22(1): 67.
7.	盧軍華, 楊田, 唐俊, 等. 肝切除治療復雜肝內膽管結石伴全內臟反位一例. 中華外科雜志, 2008, 46(20): 1600.
8.	金慧涵, 華志元, 季沅. 全內臟反位腹腔鏡聯合纖維膽道鏡治療膽囊結石合并膽總管結石 1 例分析. 中國誤診學雜志, 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.	周陳杰, 王友順. " 鏡面人”行肝臟部分切除、膽腸吻合術 1 例. 實用醫學雜志, 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.	胡鵬, 王衛星, 李晨, 等. 內臟反位并膽囊、膽總管結石手術治療 1 例并文獻復習. 中國普通外科雜志, 2015, 24(8): 1187-1190.
14.	王玲玲, 林敏華, 葉麗萍, 等. 內鏡下十二指腸乳頭小切開聯合氣囊擴張治療內臟反位合并膽總管結石二例. 中華消化內鏡雜志, 2015, 32(8): 564-565.
15.	李可為. 上海交通大學醫學院附屬仁濟醫院李可為團隊為罕見" 鏡面人”成功取石. 上海交通大學學報 (醫學版), 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.	鄭楚發, 王小忠, 黃耀奎, 等. 腹腔鏡膽總管探查術治療膽總管結石. 中華肝膽外科雜志, 2016, 22(6): 378-381.
19.	唐寒秋, 李曉濤, 龍雪艷. 腹腔鏡膽總管探查術治療復雜性肝膽管結石的安全性及對患者生存質量的影響. 醫學綜述, 2016, 22(20): 4143-4145.
20.	陳永標, 池小斌, 江藝, 等. 腹腔鏡肝切除聯合膽道鏡治療肝內外膽管結石 36 例. 中國微創外科雜志, 2016, 16(9): 777-779.
21.	童里, 耿小平, 謝坤, 等. 肝內外膽管結石多次手術原因及預后分析. 中華消化外科雜志, 2016, 15(4): 368-373.
22.	楊旭萍. 腹腔鏡聯合術中膽道鏡經膽囊管膽道探查取石技巧. 中國實用醫藥, 2016, 11(26): 144-145.
23.	方駿, 姚惠明, 曹立俊. 經內鏡逆行胰膽管造影術困難取石中膽道支架內引流術的應用效果. 全科醫學臨床與教育, 2017, 15(1): 82-83.
24.	劉彥伯, 吳碩東, 唐少珊. 超聲下經 ENBD 注入生理鹽水輔助觀察膽總管殘余結石的臨床研究. 中國微創外科雜志, 2017, 17(11): 990-994.
25.	邵明山, 李軍, 李能平. 內鏡下不同大小氣囊十二指腸乳頭擴張術治療膽總管結石的近期療效. 中國內鏡雜志, 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. 劉偉, 江志強. 全內臟反位腹腔鏡下左肝及膽囊切除 1 例報告. 中國普外基礎與臨床雜志, 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. 內鏡治療膽總管結石伴全內臟異位一例. 中華消化內鏡雜志, 2005, 22(1): 67.
7. 盧軍華, 楊田, 唐俊, 等. 肝切除治療復雜肝內膽管結石伴全內臟反位一例. 中華外科雜志, 2008, 46(20): 1600.
8. 金慧涵, 華志元, 季沅. 全內臟反位腹腔鏡聯合纖維膽道鏡治療膽囊結石合并膽總管結石 1 例分析. 中國誤診學雜志, 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. 周陳杰, 王友順. " 鏡面人”行肝臟部分切除、膽腸吻合術 1 例. 實用醫學雜志, 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. 胡鵬, 王衛星, 李晨, 等. 內臟反位并膽囊、膽總管結石手術治療 1 例并文獻復習. 中國普通外科雜志, 2015, 24(8): 1187-1190.
14. 王玲玲, 林敏華, 葉麗萍, 等. 內鏡下十二指腸乳頭小切開聯合氣囊擴張治療內臟反位合并膽總管結石二例. 中華消化內鏡雜志, 2015, 32(8): 564-565.
15. 李可為. 上海交通大學醫學院附屬仁濟醫院李可為團隊為罕見" 鏡面人”成功取石. 上海交通大學學報 (醫學版), 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. 鄭楚發, 王小忠, 黃耀奎, 等. 腹腔鏡膽總管探查術治療膽總管結石. 中華肝膽外科雜志, 2016, 22(6): 378-381.
19. 唐寒秋, 李曉濤, 龍雪艷. 腹腔鏡膽總管探查術治療復雜性肝膽管結石的安全性及對患者生存質量的影響. 醫學綜述, 2016, 22(20): 4143-4145.
20. 陳永標, 池小斌, 江藝, 等. 腹腔鏡肝切除聯合膽道鏡治療肝內外膽管結石 36 例. 中國微創外科雜志, 2016, 16(9): 777-779.
21. 童里, 耿小平, 謝坤, 等. 肝內外膽管結石多次手術原因及預后分析. 中華消化外科雜志, 2016, 15(4): 368-373.
22. 楊旭萍. 腹腔鏡聯合術中膽道鏡經膽囊管膽道探查取石技巧. 中國實用醫藥, 2016, 11(26): 144-145.
23. 方駿, 姚惠明, 曹立俊. 經內鏡逆行胰膽管造影術困難取石中膽道支架內引流術的應用效果. 全科醫學臨床與教育, 2017, 15(1): 82-83.
24. 劉彥伯, 吳碩東, 唐少珊. 超聲下經 ENBD 注入生理鹽水輔助觀察膽總管殘余結石的臨床研究. 中國微創外科雜志, 2017, 17(11): 990-994.
25. 邵明山, 李軍, 李能平. 內鏡下不同大小氣囊十二指腸乳頭擴張術治療膽總管結石的近期療效. 中國內鏡雜志, 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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