病例报告：多囊马蹄肾患者的双侧手辅助腹腔镜肾切除术
Case report: bilateral hand-assisted laparoscopic nephrectomy in a patient with polycystic horseshoe kidney.
作者信息
Hammontree Lee N, Passman Corey M
机构信息
Urology Centers of Alabama, P.C., Birmingham, Alabama, USA.
出版信息
J Endourol. 2006 Jun;20(6):397-8. doi: 10.1089/end.2006.20.397.
PURPOSE
To report the use of the hand-assisted laparoscopic (HAL) technique for removal of a horseshoe kidney in a patient with autosomal dominant polycystic kidney disease (ADPKD).
CASE REPORT
Hospital and outpatient records were reviewed for a 65-year-old man with end-stage renal disease secondary to ADPKD who underwent HAL bilateral nephrectomy of his horseshoe kidney in preparation for kidney transplantation. The surgical method is described. It was completed successfully with an operative time of 280 minutes and an estimated blood loss of 350 mL.
CONCLUSION
Bilateral HAL nephrectomy can be considered as an option for surgical removal of very large polycystic horseshoe kidneys.
目的
报告在手辅助腹腔镜（HAL）技术用于一名常染色体显性多囊肾病（ADPKD）患者马蹄肾切除术中的应用情况。
病例报告
回顾了一名65岁男性患者的医院和门诊记录，该患者因ADPKD继发终末期肾病，为准备肾移植接受了HAL双侧马蹄肾切除术。描述了手术方法。手术成功完成，手术时间为280分钟，估计失血量为350毫升。
结论
双侧HAL肾切除术可被视为手术切除非常大的多囊马蹄肾的一种选择。
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