首页|机器人辅助腹腔镜根治性前列腺切除术后Hem-o-lok夹移位嵌入膀胱颈1例报告

机器人辅助腹腔镜根治性前列腺切除术后Hem-o-lok夹移位嵌入膀胱颈1例报告

Treatment of Hem-o-lok clip migrating into bladder neck after robot assisted laparoscopic radical prostatectomy:a case report

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本文报道1例患者,接受机器人辅助腹腔镜根治性前列腺切除术后22个月出现2枚Hem-o-lok夹移位嵌入膀胱颈,导致反复下尿路症状.行经尿道联合耻骨上膀胱穿刺,使用钬激光、电切镜针形电极和腹腔镜设备等,完全取除移位的Hem-o-lok夹,效果良好.术后6 d拔除尿管后患者排尿通畅.术后随访1个月,无下尿路症状.对于此类患者,可采用各种腔内器械配合将移位的Hem-o-lok夹经腔内安全完整取除.
It was reported a case suffered from recurrent LUTS because of Hem-o-lok clip migrating and inserting into the bladder neck 22 months after robot assisted laparoscopic radical prostatectomy.Transurethral procedure combined with suprapubic bladder puncture was performed and followed by using holmium laser,needle electrode,and laparoscopic equipment to completely remove the migrated Hem-o-lok clips with a success.The urination of the patient was unobstructed after withdrawal of the urinary catheter 6 days after operation.The patient showed no lower urinary tract symptoms during the follow-up 1 month later.It is a safe procedure for completely removing Hem-o-lok clip migrating and inserting into bladder neck with various endoluminal instrument.

Lower urinary tract symptomsProstatic neoplasmsUrinary bladder calculi

姜力、刘超颖、付炼、胡华

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重庆市第五人民医院泌尿外科,重庆 400062

下尿路症状 前列腺肿瘤 膀胱结石

2024

中华泌尿外科杂志
中华医学会

中华泌尿外科杂志

CSTPCD北大核心
影响因子:1.628
ISSN:1000-6702
年,卷(期):2024.45(2)
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