Tai Sheng, Wang Jianzhong, Zhou Jun, Hao Zongyao, Shi Haoqiang, Zhang Yifei, Liang Chaozhao
From the Department of Urology, the First Affiliated Hospital of Anhui Medical University (ST, JW, JZ, ZH, HS, YZ, CL); and the Urological Institute of Anhui Medical University, Hefei, Anhui, PR China (ST, JW, JZ, ZH, HS, YZ, CL).
Medicine (Baltimore). 2016 Jan;95(2):e2516. doi: 10.1097/MD.0000000000002516.
The aim of this case report was to evaluate the results of isthmusectomy and pyeloplasty of horseshoe kidney with the da Vinci robotic-assisted laparoscopy system.This case presented 1 patient with left back pain, associated with lower abdominal pain, and then she underwent the isthmusectomy and dismembered pyeloplasty using robotic-assisted laparoscopy simultaneously. The operation was performed by a transperitoneal approach using 5 ports.We cut the renal isthmus by means of bipolar scissors and then closed the renal parenchyma with 3-0 absorbed stitches. The total operation time was 123 min including simultaneous dismembered pyeloplasty. Blood loss was <50 mL. There were no complications either during or after the procedure. The oral nutrition and mobilization were included on the second day after surgery. The peritoneal drainage was removed on the eighth day. Long-term follow-up after treatment showed good results.The da Vinci robotic-assisted laparoscopy is an alternative to open surgery and laparoscopy, particularly in the correction of congenital defects of the urinary tract. Furthermore, the da Vinci robotic-assisted laparoscopy technique in isthmusectomy and pyeloplasty is safe for patient as shown by our results.
本病例报告的目的是评估使用达芬奇机器人辅助腹腔镜系统对马蹄肾进行峡部切除术和肾盂成形术的效果。该病例为 1 例伴有下腹部疼痛的左侧背痛患者，随后她同时接受了机器人辅助腹腔镜峡部切除术和离断性肾盂成形术。手术采用经腹途径，使用 5 个端口。我们用双极剪刀切断肾峡部，然后用 3-0 可吸收缝线缝合肾实质。包括同时进行离断性肾盂成形术在内，总手术时间为 123 分钟。失血<50 毫升。术中及术后均无并发症。术后第二天开始口服营养并下床活动。第八天拔除腹腔引流管。治疗后的长期随访显示效果良好。达芬奇机器人辅助腹腔镜手术是开放手术和腹腔镜手术的一种替代方法，尤其适用于纠正先天性尿路缺陷。此外，如我们的结果所示，达芬奇机器人辅助腹腔镜技术用于峡部切除术和肾盂成形术对患者是安全的。
