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.
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.
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。
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