Gupta M, Haluck R S, Yang H C, Holman M J, Ahsan N
Departments of Surgery and Medicine, The Milton S. Hershey Medical Center, Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Am J Kidney Dis. 2000 Sep;36(3):636-9. doi: 10.1053/ajkd.2000.16206.
An open renal biopsy frequently is performed when the conventional percutaneous approach is contraindicated. Although many of the surgical procedures, previously performed by a traditional open technique, are now successfully accomplished by laparoscopic technique, there remains a paucity of reports on laparoscopic kidney biopsy. We describe the use of laparoscopic technique in performing native kidney biopsy in three patients and review the potential safety and accuracy of this approach. To date, laparoscopic-assisted renal biopsy has been reported in six patients. The average length of stay in our small series was 1.3 days, and there were no major or catastrophic complications. Adequate numbers of glomeruli for confirmation of microscopic diagnosis were obtained in all cases. The review of literature, in addition to our encouraging preliminary results of a small group of patients, shows a possible role of laparoscopic-assisted renal biopsy in place of an open renal biopsy.
当传统的经皮穿刺方法存在禁忌时，常进行开放性肾活检。尽管许多以前采用传统开放技术进行的外科手术现在已通过腹腔镜技术成功完成，但关于腹腔镜肾活检的报道仍然很少。我们描述了在三名患者中使用腹腔镜技术进行自体肾活检的情况，并回顾了这种方法的潜在安全性和准确性。迄今为止，已有6例患者报道了腹腔镜辅助肾活检。在我们的小系列病例中，平均住院时间为1.3天，没有发生重大或灾难性并发症。所有病例均获得了足够数量的肾小球用于确诊显微镜诊断。除了我们对一小部分患者令人鼓舞的初步结果外，文献综述表明腹腔镜辅助肾活检可能替代开放性肾活检。
