Araki Motoo, Wada Koichiro, Mitsui Yosuke, Sadahira Takuya, Kubota Risa, Nishimura Shingo, Yoshioka Takashi, Ariyoshi Yuichi, Fujio Kei, Takamoto Atsushi, Sugimoto Morito, Sasaki Katsumi, Kobayashi Yasuyuki, Ebara Shin, Taninishi Hideki, Amano Hiroyuki, Inui Masashi, Watanabe Masami, Watanabe Toyohiko, Nasu Yasutomo
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558,
Acta Med Okayama. 2017 Aug;71(4):351-355. doi: 10.18926/AMO/55313.
A 38-year-old woman with a 2.7-cm left ureteral stenosis requiring chronic ureteral stent exchange elected to undergo robotic renal autotransplantation. Left ureteropelvic junction obstruction (UPJO) was also suspected. Robotic donor nephrectomy contributed to the fine dissection for desmoplastic changes. The kidney was removed through a Gelport and examined on ice. UPJO was not seen. An end-to-side robotic anastomosis was created between the renal and external iliac vessels. The console time was 507 min, and the warm ischemia time was 4 min 5 sec. She became stent-free. Robotic renal autotransplantation is a new, minimally invasive approach to renal preservation.
一名38岁女性，患有2.7厘米的左侧输尿管狭窄，需要定期更换输尿管支架，她选择接受机器人辅助肾自体移植手术。同时怀疑存在左侧肾盂输尿管连接处梗阻（UPJO）。机器人辅助供肾切除术有助于对纤维组织增生性改变进行精细解剖。通过Gelport取出肾脏并在冰上检查。未发现UPJO。在肾动脉与髂外血管之间进行了机器人辅助端侧吻合。手术控制台时间为507分钟，热缺血时间为4分5秒。她不再需要放置支架。机器人辅助肾自体移植是一种用于肾脏保存的新型微创方法。
