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机器人辅助下肾部分切除术(达芬奇手术)治疗与Wünderlich综合征相关的肾血管平滑肌脂肪瘤。

Robot assisted partial nephrectomy (Da Vinci) in an angiomyolipoma associated to Wünderlich Syndrome.

作者信息

Bolufer Eduardo, López-Fontana Gastón, Castillo Octavio A

机构信息

Department of Urology, Clínica Indisa, Santiago, Chile.

出版信息

Arch Esp Urol. 2012 Nov;65(9):831-4.

Abstract

OBJECTIVE

To describe a case of renal angiomyolipoma treated by robotic assisted surgery.

METHOD AND RESULTS

We report the case of a 26 year old females patient, in the context of third month pregnancy, who was diagnosed of spontaneous self-limited retroperitoneal hemorrhage due to renal angiomyolipoma. The patient was treated conservatively until normal delivery. At the 3rd month postpartum a robot-assisted (Da Vinci S) nephron sparing surgery (partial nephrectomy) was performed.

CONCLUSION

Despite being a benign tumor, there are cases in which the renal angiomyolipoma requires surgical treatment. To our knowledge, after a thorough review of the literature, this would be the first reported case of angiomyolipoma treated with conservative surgery with robotic assistance (Da Vinci S-HD).

摘要

目的

描述一例经机器人辅助手术治疗的肾血管平滑肌脂肪瘤病例。

方法与结果

我们报告一例26岁女性患者,处于妊娠第三个月,被诊断为因肾血管平滑肌脂肪瘤导致的自发性自限性腹膜后出血。患者接受保守治疗直至正常分娩。产后第三个月进行了机器人辅助(达芬奇S型)保留肾单位手术(部分肾切除术)。

结论

尽管肾血管平滑肌脂肪瘤是良性肿瘤,但在某些情况下仍需要手术治疗。据我们所知,在对文献进行全面回顾后,这将是首例报道的采用机器人辅助(达芬奇S-HD型)保守手术治疗的血管平滑肌脂肪瘤病例。

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