Wang Yi-Chun, Xia Jia-Dong, Zhang Qi-Jie, Chen Chen, Xue Jian-Xin, Yang Jie, Qin Chao, Song Ning-Hong, Wang Zeng-Jun
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, China.
J Med Case Rep. 2018 Oct 2;12(1):284. doi: 10.1186/s13256-018-1830-9.
Incidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children. A minimally invasive procedure in different sittings is often recommended.
A Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. He was subjected to magnetic resonance urography and was diagnosed as having right renal cyst and contralateral calyceal diverticula. He underwent robotic cyst decortication and calyceal diverticulectomy using da Vinci robot. His postoperative period was uneventful. He was discharged on fifth postoperative day. Histopathology was consistent with simple renal cyst.
Robotic combined cyst decortication and contralateral diverticulectomy is feasible in selected small children. However, it demands adequate technical skill and experience.
儿童双侧肾脏同时出现肾囊肿和肾盏憩室的情况较为罕见。通常建议采用分期的微创手术。
一名15个月大的中国男孩因右侧腰痛就诊于一家三级医疗中心的泌尿外科。他接受了磁共振尿路造影检查，被诊断为右侧肾囊肿和对侧肾盏憩室。他使用达芬奇机器人接受了机器人囊肿剥除术和肾盏憩室切除术。术后恢复顺利。术后第五天出院。组织病理学检查结果与单纯肾囊肿相符。
对于选定的小儿患者，机器人辅助下联合囊肿剥除术和对侧憩室切除术是可行的。然而，这需要足够的技术技能和经验。
