Philippou Prodromos, Michalakis Anastasios, Ioannou Kyriakos, Miliatou Maria
St George's Medical School, University of Nicosia, Nicosia, Cyprus.
Department of Urology and Nephrology, Apollonion Hospital, Nicosia, Cyprus.
J Endourol Case Rep. 2020 Sep 17;6(3):224-227. doi: 10.1089/cren.2020.0057. eCollection 2020.
Nephroptosis is a clinical condition characterized by symptoms related to an abnormal caudal movement of the kidney. During the past decade, the availability of laparoscopic surgery has led to a revival of interest in nephroptosis. Most of the traditional surgical techniques aim to achieve kidney fixation by placing triangulation sutures between the abdominal wall and the renal capsule. These sutures are often difficult to tie because of the confined working space. We herein present a case of a 31-year-old female patient who presented with symptomatic right-sided nephroptosis and was managed effectively by laparoscopic nephropexy. We have applied a technical modification to facilitate laparoscopic fixation by utilizing suture and nonabsorbable polymer clips ("sliding clip" technique). Laparoscopic nephropexy is a safe and effective procedure for the management of symptomatic nephroptosis. The "sliding clip" technique is a modification familiar to most urologists that facilitates intracorporeal suturing and adequate renal fixation.
肾下垂是一种临床病症，其特征为与肾脏异常尾端移动相关的症状。在过去十年中，腹腔镜手术的出现使得对肾下垂的兴趣再度兴起。大多数传统手术技术旨在通过在腹壁和肾包膜之间放置三角缝合线来实现肾脏固定。由于工作空间受限，这些缝合线往往难以打结。我们在此报告一例31岁女性患者，她因有症状的右侧肾下垂就诊，并通过腹腔镜肾固定术得到有效治疗。我们应用了一种技术改良，通过使用缝线和不可吸收聚合物夹（“滑动夹”技术）来促进腹腔镜固定。腹腔镜肾固定术是治疗有症状肾下垂的一种安全有效的手术方法。“滑动夹”技术是大多数泌尿外科医生熟悉的一种改良方法，有助于体内缝合和充分的肾脏固定。
