Fernandez Adrian, Sherer Benjamin, Stoller Marshall L
Department of Urology, UCSF Medical Center, San Francisco, California.
J Endourol Case Rep. 2018 Mar 1;4(1):39-41. doi: 10.1089/cren.2017.0130. eCollection 2018.
Laparoscopic heminephrectomy was performed in a 64-year-old woman with a chronically obstructed horseshoe kidney moiety. More than 3000 cc of pyonephrosis was drained through two percutaneous nephrostomy tubes for infection control before left moiety laparoscopic resection. This case report attests to the feasibility of laparoscopic resection of a massively obstructed horseshoe kidney when performed in a staged manner after prolonged drainage. Since an incision was required for removal of the large specimen, ligation of the horseshoe isthmus was completed through the same incision after hilar control and laparoscopic mobilization of the moiety were completed.
对一名64岁患有慢性梗阻性马蹄肾部分肾积水的女性患者实施了腹腔镜半肾切除术。在左侧部分肾积水进行腹腔镜切除术前，通过两根经皮肾造瘘管引流了超过3000立方厘米的脓性肾积水以控制感染。本病例报告证明，在长时间引流后分阶段进行腹腔镜切除时，对严重梗阻的马蹄肾进行腹腔镜切除是可行的。由于需要切口来取出大标本，在完成肾门控制和腹腔镜下部分肾积水的游离后，通过同一切口完成马蹄肾峡部的结扎。
