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特伦德伦伯格体位下经腹腔腹腔镜技术：马蹄肾患者肾盂切开取石、肾盂成形和半肾切除术的有效手术方法。

Intraperitoneal laparoscopic technique in trendelenburg position: an effective surgical method for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys.

机构信息

Department of Urology, Medical School, South China Hospital, Shenzhen University, Shenzhen, 518116, China.

Department of Urology, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

BMC Urol. 2024 Oct 28;24(1):236. doi: 10.1186/s12894-024-01631-4.

DOI:10.1186/s12894-024-01631-4
PMID:39468533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11520055/
Abstract

PURPOSE

To evaluate the safety and feasibility of intraperitoneal laparoscopic surgery in Trendelenburg position (ILSTP) for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys (HSKs).

METHODS

Between March 2021 and March 2024, three patients with HSKs underwent ILSSP. Of these three patients, two with pelvi-ureteric junction obstruction with recurrent kidney stones underwent pyelolithotomy and pyeloplasty, one with symptomatic nonfunctioning left moiety of a HSK was managed with heminephrectomy.

RESULTS

Mean operating time was 114 ± 64.8 (44-172) min, and estimated blood loss was 63.3 ± 51.3 (20-120) ml. The mean hospital stay was 3.3 ± 1.5 (2-5) days. There were no major intra- or post-operative complications.

CONCLUSIONS

ILSTP is a feasible and effective technique for performing pyelolithotomy, pyeloplasty, and heminephrectomy in patients with HSKs.

摘要

目的

评估腹腔镜下经腹腔手术在马蹄肾患者肾盂切开取石术、肾盂成形术和半肾切除术的安全性和可行性。

方法

2021 年 3 月至 2024 年 3 月，3 例马蹄肾患者接受了腹腔镜下经腹腔手术。其中 2 例肾盂输尿管连接部梗阻合并肾结石复发患者行肾盂切开取石术和肾盂成形术，1 例有症状的马蹄肾左侧功能不全部分行半肾切除术。

结果

平均手术时间为 114±64.8（44-172）min，估计出血量为 63.3±51.3（20-120）ml。平均住院时间为 3.3±1.5（2-5）天。无重大围手术期并发症。

结论

腹腔镜下经腹腔手术是一种可行且有效的技术，可用于治疗马蹄肾患者的肾盂切开取石术、肾盂成形术和半肾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/0e7f04d371c5/12894_2024_1631_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/0c6e399b17fb/12894_2024_1631_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/a0bf2b4ed808/12894_2024_1631_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/0e7f04d371c5/12894_2024_1631_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/0c6e399b17fb/12894_2024_1631_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/a0bf2b4ed808/12894_2024_1631_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c950/11520055/0e7f04d371c5/12894_2024_1631_Fig3_HTML.jpg

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本文引用的文献

1
Pathologic Findings and Management of Renal Mass in Horseshoe Kidneys.马蹄肾中肾脏肿块的病理发现和处理
Urology. 2022 Aug;166:170-176. doi: 10.1016/j.urology.2022.03.020. Epub 2022 Apr 9.
2
Laparoscopic transmesenteric pyeloplasty and isthmusectomy for adult horseshoe kidney with recurrent symptomatic hydronephrosis.腹腔镜经肠系膜肾盂成形术联合峡部切除术治疗成人马蹄肾伴复发性症状性肾积水
IJU Case Rep. 2020 Jul 21;3(5):220-222. doi: 10.1002/iju5.12192. eCollection 2020 Sep.
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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.
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The horseshoe kidney: Surgical anatomy and embryology.马蹄肾：手术解剖学与胚胎学
J Pediatr Urol. 2016 Oct;12(5):275-280. doi: 10.1016/j.jpurol.2016.04.033. Epub 2016 May 31.
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Laparoscopic horseshoe kidney isthmusectomy: four case reports.腹腔镜马蹄肾峡部切除术：4例病例报告
Wideochir Inne Tech Maloinwazyjne. 2014 Mar;9(1):115-20. doi: 10.5114/wiitm.2011.35740. Epub 2014 Feb 19.
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Horseshoe kidney: a review of anatomy and pathology.马蹄肾：解剖学与病理学综述
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Laparoscopic pyeloplasty in children with horseshoe kidney.腹腔镜肾盂成形术治疗马蹄肾患儿。
J Urol. 2014 Apr;191(4):1097-103. doi: 10.1016/j.juro.2013.10.059. Epub 2013 Oct 17.
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Laparoscopic heminephrectomy of a horseshoe kidney.马蹄肾的腹腔镜半肾切除术。
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The comparison of the incidence of horseshoe kidney in autopsy cases versus urologic patient population.尸检病例与泌尿外科患者群体中马蹄肾发病率的比较。
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10
Anderson-Hynes pyeloplasty in horseshoe kidney in children: is it effective without symphysiotomy?儿童马蹄肾的安德森-海因斯肾盂成形术：不进行耻骨联合切开术是否有效？
Pediatr Surg Int. 1999;15(3-4):230-3. doi: 10.1007/s003830050563.