Yee David S, Klein Robert B, Shanberg Allan M
Department of Urology, Antoci Center for Pediatric Urology & Nephrology, University of California, Irvine, Orange, USA.
J Endourol. 2006 May;20(5):326-9. doi: 10.1089/end.2006.20.326.
We present our experience with robot-assisted laparoscopic repair of a ureteropelvic junction (UPJ) disruption in a child.
An 11-year-old boy was found to have a UPJ disruption after being struck by an automobile. After unsuccessful retrograde ureteral-stent placement, a percutaneous nephrostomy tube was placed for a planned delayed repair because of the patient's multiple injuries. One month later, the patient underwent laparoscopic repair with the DaVinci robotic system using a four-port transperitoneal technique. At 3 months' follow-up, a diuretic renogram demonstrated no obstruction.
A minimally invasive laparoscopic approach using the DaVinci system is feasible in the repair of a traumatic UPJ disruption.
我们介绍了使用机器人辅助腹腔镜修复儿童输尿管肾盂连接部（UPJ）破裂的经验。
一名11岁男孩在被汽车撞击后被发现有UPJ破裂。逆行输尿管支架置入失败后，由于患者多处受伤，放置了经皮肾造瘘管以便进行计划中的延迟修复。1个月后，患者使用达芬奇机器人系统通过四孔经腹技术进行了腹腔镜修复。在3个月的随访中，利尿肾图显示无梗阻。
使用达芬奇系统的微创腹腔镜方法在修复创伤性UPJ破裂方面是可行的。
