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腹腔镜联合输尿管镜治疗马蹄肾合并重复肾及输尿管结石 1 例报告。

Laparoscopy combining with ureteroscopy for horseshoe kidney accompanying with duplicate kidney and a ureteral calculus: a case report.

机构信息

Department of Urology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400000, China.

出版信息

BMC Urol. 2020 Jul 11;20(1):95. doi: 10.1186/s12894-020-00667-6.

DOI:10.1186/s12894-020-00667-6
PMID:32652967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7353682/
Abstract

BACKGROUND

Horseshoe kidney (HSK) is a common renal fusion anomaly, occurring in about 1 in 400-600 individuals. In addition, the incidence of duplicated collecting system is about 0.8%.

CASE PRESENTATION

This report documents an extremely rare case, which was treated by multiple procedures in the same operative session to accomplish laparoscopic amputation of the HSK isthmus, resection of duplicate kidney and ureteroscopic lithotripsy.

CONCLUSION

Results showed that minimally invasive surgery with use of multiple endoscopes may be a feasible choice for this patient population with complicated comorbid renal conditions.

摘要

背景

马蹄肾（HSK）是一种常见的肾脏融合畸形，约每 400-600 人中发生 1 例。此外，重复集合系统的发生率约为 0.8%。

病例介绍

本报告记录了一例极其罕见的病例，该病例在同一手术中通过多次手术进行治疗，以完成腹腔镜马蹄肾峡部切断、重复肾和输尿管镜碎石术。

结论

结果表明，对于患有复杂合并肾疾病的患者人群，使用多内镜微创外科手术可能是一种可行的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/cffe5843cddd/12894_2020_667_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/9a01be186cfd/12894_2020_667_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/3680844ccb68/12894_2020_667_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/cffe5843cddd/12894_2020_667_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/9a01be186cfd/12894_2020_667_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/3680844ccb68/12894_2020_667_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8187/7353682/cffe5843cddd/12894_2020_667_Fig3_HTML.jpg

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Robot-assisted laparoscopic pyeloplasty (RALP) in children with horseshoe kidneys: results of a multicentric study.机器人辅助腹腔镜肾盂成形术（RALP）治疗马蹄肾患儿：一项多中心研究的结果。
World J Urol. 2019 Oct;37(10):2257-2263. doi: 10.1007/s00345-019-02632-x. Epub 2019 Jan 14.
2
Minimal change disease in horseshoe kidney.马蹄肾中的微小病变病。
Pan Afr Med J. 2017 Apr 28;26:243. doi: 10.11604/pamj.2017.26.243.11438. eCollection 2017.
3
[Laparoscopic pyeloplasty for hydronephrosis of horseshoe kidney].腹腔镜肾盂成形术治疗马蹄肾肾积水
Urologiia. 2016 Nov(5):58-62.
4
Supernumerary Kidney Associated with Horseshoe Malformation: A Case Report and Review of Literature.马蹄肾畸形合并额外肾：一例报告及文献复习
Urol Case Rep. 2017 Feb 2;11:57-59. doi: 10.1016/j.eucr.2016.11.010. eCollection 2017 Feb.
5
The morphology and treatment of coexisting ureteropelvic junction obstruction in lower moiety of duplex kidney.重复肾下极并发肾盂输尿管连接部梗阻的形态学和治疗。
Int J Surg. 2016 Oct;34:23-27. doi: 10.1016/j.ijsu.2016.08.015. Epub 2016 Aug 18.
6
Long-term functional renal outcomes after retroperitoneoscopic upper pole heminephrectomy for duplex kidney in children: a multicenter cohort study.儿童重复肾行后腹腔镜上半肾切除术的长期肾功能转归：一项多中心队列研究
Surg Endosc. 2017 Mar;31(3):1241-1249. doi: 10.1007/s00464-016-5098-0. Epub 2016 Jul 15.
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Robot-assisted laparoscopic management of duplex renal anomaly: Comparison of surgical outcomes to traditional pure laparoscopic and open surgery.机器人辅助腹腔镜治疗重复肾畸形：手术结果与传统单纯腹腔镜手术和开放手术的比较。
J Pediatr Urol. 2016 Feb;12(1):44.e1-7. doi: 10.1016/j.jpurol.2015.04.046. Epub 2015 Aug 17.
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