机器人辅助肾脏自体移植作为胡桃夹综合征和腰腹痛血尿综合征治疗的一种安全替代方法：病例系列报告
Robotic assisted kidney auto-transplantation as a safe alternative for treatment of nutcracker syndrome and loin pain haematuria syndrome: A case series report.
作者信息
Mejia Alejandro, Barrera Gutierrez Juan Carlos, Vivian Elaina, Shah Jimmy, Dickerman Richard
机构信息
The Liver Institute, Methodist Dallas Medical Center, Dallas, Texas, USA.
Methodist Digestive Institute, Methodist Dallas Medical Center, Dallas, Texas, USA.
出版信息
Int J Med Robot. 2023 Jun;19(3):e2508. doi: 10.1002/rcs.2508. Epub 2023 Mar 2.
BACKGROUND
Describe the outcomes and safety of robotic-assisted kidney auto-transplantation (RAKAT) in the treatment of nutcracker syndrome (NCS) and loin pain haematuria syndrome (LPHS).
METHODS
This retrospective study included 32 cases of NCS and LPHS seen during December 2016 to June 2021.
RESULTS
Three (9%) patients had LPHS and 29 (91%) NCS. All were non-Hispanic whites, and 31 (97%) women. The mean age was 32 years (SD = 10) and the BMI 22.8 (SD = 5). The RAKAT was completed in all patients, 63% had a total improvement of pain. According to the Clavien-Dindo classification, 47% presented with type 1, and 9% with type 3 complications with a mean follow-up of 10.9 months. The incidence of acute kidney injury in post-procedure was 28%. No one required blood transfusions, and there were no deaths during the follow-up.
CONCLUSION
RAKAT was a feasible procedure with a similar complication rate to those reported for other surgical techniques.
背景
描述机器人辅助自体肾移植（RAKAT）治疗胡桃夹综合征（NCS）和腰腹痛血尿综合征（LPHS）的疗效和安全性。
方法
这项回顾性研究纳入了2016年12月至2021年6月期间诊治的32例NCS和LPHS患者。
结果
3例（9%）为LPHS患者，29例（91%）为NCS患者。所有患者均为非西班牙裔白人，31例（97%）为女性。平均年龄为32岁（标准差=10），体重指数为22.8（标准差=5）。所有患者均完成了RAKAT手术，63%的患者疼痛完全缓解。根据Clavien-Dindo分类，47%的患者出现1型并发症，9%的患者出现3型并发症，平均随访时间为10.9个月。术后急性肾损伤的发生率为28%。无人需要输血，随访期间无死亡病例。
结论
RAKAT是一种可行的手术，并发症发生率与其他手术技术报道的相似。
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