使用 Focus 超音波刀行肾脏保留手术于双侧威尔姆斯氏瘤之病例报告。
Renal sparing surgery using focus ultracision harmonic scalpel in patients with bilateral wilms' tumor: case report.
机构信息
Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey.
出版信息
Balkan Med J. 2013 Sep;30(3):318-20. doi: 10.5152/balkanmedj.2013.7589. Epub 2013 Sep 1.
BACKGROUND
Bilateral Wilms' tumor is rare and surgical treatment requires an individual approach. Surgical approach to the tumors located in the central part of the kidney represents a major challenge and nephrectomy is usually essential. Renal sparing surgery is difficult in such cases.
CASE REPORT
We describe a 3 year-old female patient with bilateral Wilms' tumor arising in the central localisation of the right and foci in the left kidney enucleated successfully with a simple and comfortable renal preserving operative technique using Focus Ultracision Harmonic Scalpel.
CONCLUSION
In cases when tumors are located in the central part of the kidney and partial nephrectomy is consequently very difficult, the use of a Focus Ultracision Harmonic Scalpel provides easy dissecting, enucleation, and excision of the tumor.
背景
双侧肾母细胞瘤较为罕见，其治疗需要个体化方案。位于肾脏中央部位的肿瘤的手术治疗极具挑战性，通常需要进行肾切除术。在这种情况下，保肾手术较为困难。
病例报告
我们描述了一位 3 岁女性患者，其双侧肾母细胞瘤位于右肾中央部位，左肾上有病灶。我们成功地使用 Focus Ultracision Harmonic Scalpel 实施了简单且舒适的保肾手术，对肿瘤进行了剜除。
结论
当肿瘤位于肾脏中央部位，且部分肾切除术非常困难时，使用 Focus Ultracision Harmonic Scalpel 可方便地进行解剖、剜除和切除肿瘤。
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