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妊娠期腹腔镜根治性肾切除术:病例报告及文献复习

Laparoscopic radical nephrectomy during pregnancy: case report and review of the literature.

作者信息

Lee David, Abraham Nitya

机构信息

University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

出版信息

J Endourol. 2008 Mar;22(3):517-8. doi: 10.1089/end.2007.0237.

DOI:10.1089/end.2007.0237
PMID:18355145
Abstract

Routine ultrasonography revealed a large, complex renal mass in a 39-year-old pregnant woman. An MRI confirmed a 14.5 x 12 x 17 cm complex renal mass, and laparoscopic nephrectomy was chosen as the management option. During the mid-second trimester, a right laparoscopic nephrectomy was performed. The pathology report noted clear-cell carcinoma with negative margins. The child, delivered without incident, is now more than 2 years old and is developmentally normal. A review of laparoscopy in pregnancy is also presented.

摘要

常规超声检查发现一名39岁孕妇有一个巨大的复杂性肾肿块。磁共振成像(MRI)证实有一个14.5×12×17厘米的复杂性肾肿块,遂选择腹腔镜肾切除术作为治疗方案。在孕中期,进行了右侧腹腔镜肾切除术。病理报告显示为透明细胞癌,切缘阴性。孩子顺利分娩,现在已经2岁多了,发育正常。本文还对妊娠期腹腔镜检查进行了综述。

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