儿童腹腔镜下交叉融合异位肾肾切除术治疗高血压。
Laparoscopic nephrectomy of a cross-fused ectopic kidney in a child with hypertension.
机构信息
Service de chirurgie viscérale et urologique pédiatrique Pr Guys, CHU Timone, Marseille, France.
出版信息
J Pediatr Urol. 2010 Oct;6(5):522-4. doi: 10.1016/j.jpurol.2010.03.006. Epub 2010 Jul 2.
OBJECTIVE
We report a case of laparoscopic nephrectomy of a cross-fused ectopic kidney in a 4-year-old girl with renal hypertension and Fanconi anemia.
MATERIALS AND METHODS
We performed a transperitoneal laparoscopy. Ectopic kidney resection was done after dissection of the pathological kidney and after clamping vessels, using an ultrasonic device. Hospitalization time was 4 days.
RESULTS
At 6 months, blood pressure was normalized and the patient showed an adequate growth curve.
CONCLUSION
The transperitoneal route is very effective when a nephrectomy is necessary. It offers perfect exposure with limited risk of complications.
目的
我们报告一例 4 岁女孩因肾性高血压和范可尼贫血而行腹腔镜交叉融合异位肾切除术。
材料和方法
我们进行了经腹腔腹腔镜手术。在分离病变肾脏并夹闭血管后，使用超声装置切除异位肾。住院时间为 4 天。
结果
6 个月时，血压恢复正常，患者生长曲线良好。
结论
当需要进行肾切除术时，经腹腔途径非常有效。它提供了完美的暴露，并发症风险有限。
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