现代泌尿外科杂志2024,Vol.29Issue(9) :819-822.DOI:10.3969/j.issn.1009-8291.2024.09.014

腰腹联合入路机器人辅助马蹄肾右肾部分切除术1例报告("大家泌尿网"观看手术视频)

Robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach in the treatment of right horseshoe kidney:one case report

张家龙 施浩强 王利娜 梁朝朝
现代泌尿外科杂志2024,Vol.29Issue(9) :819-822.DOI:10.3969/j.issn.1009-8291.2024.09.014

腰腹联合入路机器人辅助马蹄肾右肾部分切除术1例报告("大家泌尿网"观看手术视频)

Robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach in the treatment of right horseshoe kidney:one case report

张家龙 1施浩强 1王利娜 2梁朝朝1
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作者信息

  • 1. 安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,泌尿男科疾病研究与医学转化安徽省重点实验室,安徽合肥 230022
  • 2. 安徽医科大学第一附属医院放射科,安徽合肥 230022
  • 折叠

摘要

目的 探讨腰腹联合入路机器人辅助马蹄肾(HSK)右肾部分切除术治疗HSK合并肾肿瘤的可行性与安全性.方法 报道安徽医科大学第一附属医院收治的1例HSK合并肾肿瘤的患者的临床及随访资料.本例患者的治疗创新性采用腰腹联合入路机器人辅助HSK右肾部分切除术,术前经肾脏计算机断层扫描平扫、增强+血管成像明确诊断及血供,术后随访.结果 手术顺利完成,手术时间为270 min.术中热缺血时间30 min,术中出血约300 mL,术中及术后无并发症出现.术后2个月随访,患者恢复良好,未见胸腹部淋巴结肿大及肺部转移灶.结论 腰腹联合入路机器人辅助HSK肾部分切除术是治疗HSK合并肾肿瘤安全可行的微创治疗方案.

Abstract

Objective To explore the feasibility and safety of robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach in the treatment of horseshoe kidney with renal tumor.Methods Clinical and follow-up data of a patient with horseshoe kidney with renal tumor were retrospectively analyzed.Before operation,the diagnosis was confirmed with renal CT scanning and enhancement with angiography to show the blood supply.After that,the patient underwent robot-assisted partial right nephrectomy for horseshoe kidney by robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach.After operation,the patient was followed up.Results The operation went smooth with an operation time of 270 min.The intraoperative warm ischemia time was 30 min,intraoperative bleeding was approximately 300 mL,and no intraoperative or postoperative complications occurred.After 2 months of follow-up,the patient recovered well,and no chest and abdominal lymph node enlargement and lung metastasis were observed.Conclusion Robot-assisted partial nephrectomy of horseshoe kidney using a combined retroperitoneal and transperitoneal approach is a safe and feasible minimally invasive treatment option.

关键词

马蹄肾/腰腹联合入路/机器人辅助/肾部分切除

Key words

horseshoe kidney/combined retroperitoneal and transperitoneal approach/robot-assisted/partial nephrectomy

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出版年

2024
现代泌尿外科杂志
西安交通大学

现代泌尿外科杂志

CSTPCD
影响因子:1.106
ISSN:1009-8291
参考文献量4
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