Molina Wilson R, Gill Inderbir S
Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute A100, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
J Endourol. 2003 Dec;17(10):905-6. doi: 10.1089/089277903772036244.
A 68-year-old man with an incidentally found 2-cm complex enhancing cystic right renal mass in the right moiety of a horseshoe kidney was treated with a three-port retroperitoneal laparoscopic approach. The tumor was completely excised with cold Endoshears, and Surgicel bolsters were tightly buttressed into the resection bed with 0 Vicryl sutures. The warm ischemia time was 31 minutes. To our knowledge, this is the initial case of retroperitoneal laparoscopic partial nephrectomy in a horseshoe kidney. Three-dimensional CT with volume rendering in a video format provides the necessary information about the number, location, and extrarenal anatomy of the renal artery and vein.
一名68岁男性，马蹄肾右侧部分偶然发现一个2厘米的复杂性强化囊性右肾肿物，采用三孔后腹腔镜入路进行治疗。使用冷剪将肿瘤完整切除，并用0号薇乔缝线将外科止血纱布紧密填塞到切除床。热缺血时间为31分钟。据我们所知，这是马蹄肾后腹腔镜部分肾切除术的首例病例。三维CT容积再现视频格式提供了关于肾动脉和肾静脉的数量、位置及肾外解剖结构的必要信息。
