Department of Urology and Kidney Transplantation, Martin-Luther-University, Halle/Saale, Germany.
Eur Urol. 2011 Jun;59(6):1060-4. doi: 10.1016/j.eururo.2010.10.009. Epub 2010 Oct 15.
We present the details of the first three single-portal access laparoscopic radical nephrectomies (S-Portal-RN) performed in patients with a malignant renal tumour that developed after a renal transplant. The mean operative time was 171.6 ± 37.5 min, with a mean blood loss of 126.6 ± 25.1 ml. A single small skin incision (5 cm) was performed to remove the kidney. No significant difference in glomerular filtration rate was observed postoperatively. The postoperative recovery was uneventful with favourable short-term outcomes and high patient satisfaction at the 2-mo follow-up. We believe that S-Portal-RN for renal cancer after a renal transplant can be performed without increased risks for the patients or for the transplanted kidney.
我们介绍了三例首例单通道入路腹腔镜根治性肾切除术（S-Portal-RN）的详细情况，这些患者均为肾移植后发生恶性肾肿瘤。平均手术时间为 171.6±37.5 分钟，平均失血量为 126.6±25.1ml。通过一个 5cm 的小皮肤切口取出肾脏。术后肾小球滤过率无明显差异。术后恢复顺利，短期结果良好，2 个月随访时患者满意度高。我们认为，对于肾移植后的肾癌患者，S-Portal-RN 手术可以在不增加患者或移植肾风险的情况下进行。
