1例下腔静脉后输尿管的机器人辅助输尿管重建病例。
A case of retrocaval ureter with robot-assisted ureteral reconstruction.
作者信息
Hakariya Tomoaki, Aoki Daiyu, Nishimura Naoki
机构信息
Division of Urology Japan Community Health Care Organization, Isahaya General Hospital Nagasaki Japan.
出版信息
IJU Case Rep. 2024 Sep 17;7(6):487-490. doi: 10.1002/iju5.12785. eCollection 2024 Nov.
INTRODUCTION
Retrocaval ureter is a rare congenital anomaly that causes ureteral obstruction. Because of the rarity of retrocaval ureter, only a few cases of open, laparoscopic, or robot-assisted surgery have been reported. We herein report a case of retrocaval ureter that was successfully reconstructed with robot-assisted surgery.
CASE PRESENTATION
A 24-year-old woman was incidentally diagnosed with right hydronephrosis on ultrasonography. Computed tomography revealed retrocaval ureter, and the right hydronephrosis was attributed to the retrocaval ureter. The patient underwent robot-assisted right ureteral reconstruction in the left lateral decubitus position. No intraoperative or postoperative complications occurred, and no right hydronephrosis was observed 6 months after the operation.
CONCLUSION
The present case demonstrated the feasibility and efficacy of robot-assisted ureteral reconstruction for retrocaval ureter.
引言
腔静脉后输尿管是一种罕见的先天性异常，可导致输尿管梗阻。由于腔静脉后输尿管罕见，仅有少数开放手术、腹腔镜手术或机器人辅助手术的病例报道。我们在此报告一例通过机器人辅助手术成功重建腔静脉后输尿管的病例。
病例介绍
一名24岁女性在超声检查时偶然被诊断为右肾积水。计算机断层扫描显示为腔静脉后输尿管，右肾积水归因于腔静脉后输尿管。患者在左侧卧位接受了机器人辅助右输尿管重建术。术中及术后均未发生并发症，术后6个月未观察到右肾积水。
结论
本病例证明了机器人辅助输尿管重建术治疗腔静脉后输尿管的可行性和有效性。
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