Yu Shicheng, Hu Haiyi, Ding Guoqing
Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.
Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.
Ann Vasc Surg. 2019 May;57:69-74. doi: 10.1016/j.avsg.2018.09.039. Epub 2019 Jan 24.
The aim of this study was to describe our robot-assisted laparoscopic left renal vein (LRV) transposition experiences for nutcracker syndrome treatment.
From August 2016 through May 2017, three patients with nutcracker syndrome underwent robot-assisted laparoscopic LRV transpositions. The patient demographics, surgical outcomes, and postoperative morbidities were reviewed.
Successful surgical procedures were performed in all three patients. The operative times for the three cases were 150, 175, and 162 minutes, respectively, while the LRV anastomosis times were 19, 22, and 13 minutes, respectively. No major perioperative complications were encountered, and the hematuria and flank pain were resolved in all three cases. At the 6-month follow-up, the computed tomography scan showed that the LRV narrowing had disappeared in two of the patients. Although one patient still exhibited LRV flattening, his symptoms were also relieved, and the varicose tributaries spontaneously ceased.
Robot-assisted laparoscopic LRV transposition can be a viable minimally invasive treatment option for patients with nutcracker syndrome.
本研究旨在描述我们采用机器人辅助腹腔镜左肾静脉（LRV）转位治疗胡桃夹综合征的经验。
2016年8月至2017年5月，3例胡桃夹综合征患者接受了机器人辅助腹腔镜LRV转位手术。回顾了患者的人口统计学资料、手术结果及术后并发症。
3例患者手术均成功。3例手术时间分别为150、175和162分钟，而LRV吻合时间分别为19、22和13分钟。围手术期未发生重大并发症，3例患者的血尿和胁腹痛均得到缓解。在6个月的随访中，计算机断层扫描显示2例患者的LRV狭窄消失。虽然1例患者仍有LRV变平，但他的症状也有所缓解，曲张的分支静脉自行消失。
机器人辅助腹腔镜LRV转位术对于胡桃夹综合征患者可能是一种可行的微创治疗选择。
