Ruszat Robin, Wyler Stephen F, Gürke Lorenz, Gambazzi Franco, Ebinger Nicole, Steiger Jürg, Sulser Tullio, Gasser Thomas C, Bachmann Alexander
Department of Urology, University Hospital Basel, Basel, Switzerland.
Urology. 2008 Nov;72(5):1185.e1-3. doi: 10.1016/j.urology.2008.01.027. Epub 2008 Jun 2.
Retroperitoneoscopy is our preferred technique for renal surgery and is routinely performed for living donor nephrectomy. We report a case of a totally bisected left hemidiaphragm during left-sided retroperitoneoscopic donor nephrectomy. This was most likely caused when creating the retroperitoneal working space by balloon dilation. Because the cardiopulmonary situation of the patient remained stable, retroperitoneoscopic donor nephrectomy was performed with the standard technique. This report describes for the first time the retroperitoneoscopic reconstruction of a diaphragmatic injury.
后腹腔镜检查是我们进行肾脏手术的首选技术，活体供肾肾切除术通常采用该技术。我们报告了一例在左侧后腹腔镜供肾肾切除术期间出现完全对半劈开左半膈的病例。这很可能是在通过球囊扩张创建后腹膜工作空间时造成的。由于患者的心肺状况保持稳定，遂采用标准技术进行了后腹腔镜供肾肾切除术。本报告首次描述了后腹腔镜下膈肌损伤的修复。
