一种使用荧光输尿管导管和软性输尿管镜进行肾移植后淋巴管囊肿安全腹腔镜开窗术的新技术。
A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation.
作者信息
Sekito Takanori, Araki Motoo, Wada Koichiro, Yoshinaga Kasumi, Maruyama Yuki, Sadahira Takuya, Katayama Satoshi, Iwata Takehiro, Nishimura Shingo, Sako Tomoko, Edamura Kohei, Kobayashi Yasuyuki, Watanabe Toyohiko
机构信息
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 7008558, Japan.
Department of Urology, Shimane University Faculty of Medicine, Izumo, Shimane 693-0021, Japan.
出版信息
Case Rep Transplant. 2022 Feb 7;2022:9948425. doi: 10.1155/2022/9948425. eCollection 2022.
Laparoscopic fenestration of a postrenal transplant lymphocele is associated with a risk of renal hilar vessel and ureteral injury. Consequently, determination of the incision line is difficult. We describe a case of a 73-year-old man with postrenal transplant lymphocele who underwent a laparoscopic fenestration. We report a surgical video containing a new technique of laparoscopic fenestration using a fluorescent ureteral catheter in combination with a flexible ureteroscope. The combination of a fluorescent ureteral catheter and flexible ureteroscope during surgery enabled us to determine the incision line safely and accurately. Intraoperative real-time visualization of the lymphocele and ureter using a fluorescent ureteral catheter and a flexible ureteroscope is safer than conventional methods for laparoscopic fenestration. To the best of our knowledge, this is the first report of this novel technique.
肾移植后淋巴管瘤的腹腔镜开窗术存在肾门血管和输尿管损伤的风险。因此，确定切口线很困难。我们描述了一例73岁肾移植后淋巴管瘤男性患者接受腹腔镜开窗术的病例。我们报告了一段手术视频，其中展示了一种使用荧光输尿管导管结合软性输尿管镜进行腹腔镜开窗术的新技术。手术过程中荧光输尿管导管与软性输尿管镜的联合使用使我们能够安全、准确地确定切口线。使用荧光输尿管导管和软性输尿管镜在术中实时观察淋巴管瘤和输尿管比传统的腹腔镜开窗术方法更安全。据我们所知，这是关于这项新技术的首次报告。
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