引用文本：刘东宁, 肖锋, 何鹏辉, 等. “镜面人”机器人辅助直肠癌根治术1例[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(4): 564-568.

作者：刘东宁，肖锋，何鹏辉，胡文俊，周睿辰，高庚妹，梁亚航，李太原

单位：南昌大学第一附属医院胃肠外科，江西 南昌 330006

Authors：Liu Dongning，Xiao Feng, He Penghui, Hu Wenjun, Zhou Ruichen, Gao Gengmei，Liang Yahang, Li Taiyuan

Unit：Department of Gastrointestinal Surgery, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China

摘要：

“镜面人”是指患者的胸、腹腔内所有器官的解剖位置与正常人完全相反。本文报道1例机器人辅助直肠癌根治术治疗“镜面人”直肠癌的经过。机器人辅助直肠癌根治术顺利完成，未中转开腹。术中出血量20 ml，手术时间为115 min，术后无腹腔感染、腹腔出血、吻合口漏、切口感染等并发症。患者于术后第7天顺利出院。本例手术充分利用了机器人手术系统操作灵活、动作稳定、自动除颤、3D放大视野、机械臂通用等优势，打破常规机器人辅助直肠癌根治术的思维定式，为后续出现此类“镜面人”病例提供了新的手术思路。

关键词：镜面人；机器人手术系统；直肠癌

Abstract：

"Situs inversus totalis" refers to a condition where the anatomical positions of all organs in the thoracic and abdominal cavities are completely reversed compared to those in a normal individual. This article reports a case of robot-assisted radical resection for rectal cancer in a patient with situs inversus totalis. The robot-assisted radical rectal cancer surgery was successfully completed without conversion to open surgery. The intraoperative blood loss was 20 ml, and the operative time was 115 minutes. No postoperative complications such as abdominal infection, intra-abdominal hemorrhage, anastomotic leakage, or surgical site infection occurred. The patient was discharged on the 7th postoperative day without any issues. This procedure fully leveraged the advantages of the robotic surgical system, including flexible manipulation, stable operation, tremor filtration, magnified 3D visualization, and versatile robotic arms. It broke the conventional mindset associated with robot-assisted radical rectal cancer surgery, providing new insights for the surgical management of similar cases of situs inversus totalis in the future.

Key words：Mirror-image patient; Robotic surgical system; Rectal cancer

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