Numakura Kazuyuki, Muto Yumina, Yamamoto Ryohei, Koizumi Atsushi, Nara Taketoshi, Kanda Sohei, Saito Mitsuru, Narita Shintaro, Inoue Takamitsu, Habuchi Tomonori
Department of Urology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543 Japan.
Int Cancer Conf J. 2020 Jun 4;9(4):199-202. doi: 10.1007/s13691-020-00420-8. eCollection 2020 Oct.
Robotic-assisted laparoscopic partial nephrectomies (RAPN) have come up to standard treatment for small renal tumors, with a growing indication to accomplish this procedure. Although a horseshoe kidney is one of the most common congenital renal fusion anomalies, surgical planning for tumors is considered difficult because of its poor mobility and abnormal vascular supply. We showed our experience of RAPN in combination with conventional laparoscopic kidney mobilization and dissection for a patient with renal cell carcinoma in a horseshoe kidney. The patient was an otherwise healthy 66-year-old man with 26 mm right renal mass on the lower pole of the horseshoe kidney. Robotic assistance allows for proper tissue dissection, easy to aware unconfirmed vasculatures, and meticulous fine suturing and would overcome the potential challenges involved in the minimally invasive management of such complex anomalies as shown in the patient.
机器人辅助腹腔镜部分肾切除术（RAPN）已成为小肾肿瘤的标准治疗方法，并且该手术的适应证也在不断增加。马蹄肾是最常见的先天性肾融合异常之一，由于其活动度差和血管供应异常，肿瘤的手术规划被认为具有挑战性。我们展示了我们在一名马蹄肾肾细胞癌患者中，将RAPN与传统腹腔镜肾脏游离和解剖相结合的经验。该患者是一名66岁的健康男性，马蹄肾下极有一个26毫米的右肾肿块。机器人辅助能够进行适当的组织解剖，易于识别未确认的血管，并进行细致的精细缝合，并且可以克服在此类复杂异常的微创治疗中所涉及的潜在挑战，如该患者所示。
