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中华普通外科学文献(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 310 -315. doi: 10.3877/cma.j.issn.1674-0793.2026.05.004

临床总结

全内脏反位合并胃癌的诊疗进展:罕见病例实践策略与多学科协作
朱瑞娇, 阮晓晓, 周奕帆, 刘宾†()   
  1. 225001 扬州,扬州大学附属苏北人民医院普通外科-胃肠外科
  • 收稿日期:2025-11-30 出版日期:2026-10-01
  • 通信作者: 刘宾
  • 基金资助:
    扬州市“绿扬金凤计划”人才资助项目(LYJF00050); 苏北人民医院博士科研基金资助项目(BSQDJ0197)

Progress in the diagnosis and treatment of situs inversus totalis complicated with gastric cancer: practical strategies for rare cases and multidisciplinary treatment

Ruijiao Zhu, Xiaoxiao Ruan, Yifan Zhou   

  • Received:2025-11-30 Published:2026-10-01
引用本文:

朱瑞娇, 阮晓晓, 周奕帆, 刘宾. 全内脏反位合并胃癌的诊疗进展:罕见病例实践策略与多学科协作[J/OL]. 中华普通外科学文献(电子版), 2026, 20(05): 310-315.

Ruijiao Zhu, Xiaoxiao Ruan, Yifan Zhou. Progress in the diagnosis and treatment of situs inversus totalis complicated with gastric cancer: practical strategies for rare cases and multidisciplinary treatment[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2026, 20(05): 310-315.

全内脏反位(SIT)作为罕见先天性解剖畸形,其胸腹腔器官“镜像”分布及伴随的血管、胆道结构变异,给胃癌合并SIT的诊疗带来了区别于常规胃癌的独特挑战。本文聚焦该病核心议题,整合2014—2024年通过系统检索PubMed、CNKI、Embase数据库获取的89例病例数据(其中2021—2024年41例,2014—2020年48例),系统梳理临床病理特征、多模态诊断体系、个体化手术策略、预后影响因素及多学科团队(MDT)协作价值,提出“精准诊断—个体化手术—全程MDT管理”的诊疗框架,为临床医师提供标准化参考,助力诊疗指南制定。

图1 SIT患者腹腔镜辅助胃切除术Trocar布局示意图
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