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妊娠期脓肾的腹腔镜肾切除术:病例报告及文献复习

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

作者信息

Arvind Nand Kishore, Singh Onkar, Gupta Shilpi Singh, Sahay Surbhi, Ali Kutub, Dharaskar Anand

出版信息

Rev Urol. 2011;13(2):98-103.

Abstract

The maternal and fetal complications of pyonephrosis during pregnancy can be devastating, thus the call for urgent but safe intervention. Laparoscopic nephrectomy has been used safely and effectively in nonpregnant patients with pyonephrotic kidney. We report on a case of a 28-year-old pregnant woman with pyonephrotic kidney that we believe to be the first such case managed by transperitoneal laparoscopic nephrectomy. A review of the reported cases of laparoscopic nephrectomy for different indications and by different approaches during pregnancy is also presented.

摘要

妊娠期肾盂积脓的母婴并发症可能是毁灭性的,因此需要紧急但安全的干预措施。腹腔镜肾切除术已在患有肾盂积脓的非妊娠患者中安全有效地应用。我们报告了一例28岁患有肾盂积脓的孕妇病例,我们认为这是首例经腹膜腹腔镜肾切除术治疗的此类病例。本文还对妊娠期不同适应证和不同手术入路的腹腔镜肾切除术报道病例进行了综述。

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本文引用的文献

1
Robot-assisted laparoscopic partial nephrectomy during pregnancy.机器人辅助腹腔镜下妊娠肾部分切除术。
J Robot Surg. 2008 Sep;2(3):193. doi: 10.1007/s11701-008-0094-6. Epub 2008 Jul 25.
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[Urinary tract infection in pregnancy].[妊娠期尿路感染]
Rev Bras Ginecol Obstet. 2008 Feb;30(2):93-100. doi: 10.1590/s0100-72032008000200008.
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Retroperitoneoscopic radical nephrectomy for renal-cell carcinoma during twin pregnancy.
J Endourol. 2007 Jul;21(7):735-7. doi: 10.1089/end.2006.0271.
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Laparoscopic adrenalectomy on a patient with primary aldosteronism during pregnancy.
Endocr J. 2006 Aug;53(4):461-6. doi: 10.1507/endocrj.k05-122. Epub 2006 Jul 5.
10
Laparoscopic radical nephrectomy in first-trimester pregnancy.孕早期腹腔镜根治性肾切除术
Urology. 2004 Dec;64(6):1231.e7-8. doi: 10.1016/j.urology.2004.06.038.

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