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经仰卧位前腹膜后入路的单孔机器人辅助肾盂成形术

Single-port robot-assisted pyeloplasty through supine anterior retroperitoneal access.

作者信息

Sobhani Sina, Hemal Sij

机构信息

Norris Comprehensive Cancer Center, Institute of Urology, University of Southern California, Los Angeles, CA, USA.

出版信息

Indian J Urol. 2025 Jan-Mar;41(1):73-74. doi: 10.4103/iju.iju_389_24. Epub 2025 Jan 1.

DOI:10.4103/iju.iju_389_24
PMID:39886623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11778694/
Abstract

This video explores the technique of robot-assisted pyeloplasty using the Da-Vinci Single-Port robot through the supine anterior retroperitoneal access in a 28-year-old male with a right-sided ureteropelvic junction obstruction. The patient was placed in a supine position, with a 10°-20° elevation of the ipsilateral flank. Retroperitoneal access was obtained at the McBurney's point for the placement of the port. The standardized steps of the Anderson-Hynes pyeloplasty technique were executed. Operative time was 120 min with 10 mL of blood loss. The patient was discharged on the same day without complications. At 4-months follow-up, on the renal scan, the right kidney showed stable function with improved drainage.

摘要

本视频探讨了在一名28岁患有右侧肾盂输尿管连接处梗阻的男性患者中,通过仰卧位前入路经腹膜后途径,使用达芬奇单孔机器人进行机器人辅助肾盂成形术的技术。患者取仰卧位,患侧腰部抬高10°-20°。在麦氏点获得腹膜后入路以放置端口。执行了安德森-海恩斯肾盂成形术技术的标准化步骤。手术时间为120分钟,失血10毫升。患者于同日出院,无并发症。在4个月的随访中,肾脏扫描显示右肾功能稳定,引流改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/11778694/1967ba27ec14/IJU-41-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/11778694/1967ba27ec14/IJU-41-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19a/11778694/1967ba27ec14/IJU-41-73-g001.jpg

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本文引用的文献

1
Single-port extra-peritoneal robotic radical prostatectomy in a patient with hostile abdomen.单孔腹膜外机器人辅助根治性前列腺切除术治疗一例有腹部手术史的患者
Indian J Urol. 2024 Oct-Dec;40(4):279-280. doi: 10.4103/iju.iju_188_24. Epub 2024 Oct 1.
2
Single-Port Robot assisted partial cystectomy for urachal adenocarcinoma.单孔机器人辅助脐尿管腺癌部分膀胱切除术。
Int Braz J Urol. 2024 Sep-Oct;50(5):659-660. doi: 10.1590/S1677-5538.IBJU.2024.0379.
3
Early perioperative outcomes of single-port compared to multi-port robot-assisted laparoscopic partial nephrectomy.
单端口与多端口机器人辅助腹腔镜部分肾切除术的围手术期早期结果比较。
J Robot Surg. 2023 Oct;17(5):2409-2414. doi: 10.1007/s11701-023-01617-8. Epub 2023 Jul 11.
4
Single-port Mini-Pfannenstiel Robotic Pyeloplasty: Establishing a Non-narcotic Pathway Along With a Same-day Discharge Protocol.单孔迷你Pfannenstiel机器人肾盂成形术:建立非麻醉途径及同日出院方案。
Urology. 2022 Feb;160:130-135. doi: 10.1016/j.urology.2021.10.013. Epub 2021 Oct 26.
5
Single-Port Robot-Assisted Dismembered Pyeloplasty With Mini-Pfannenstiel or Peri-Umbilical Access: Initial Experience in a Single Center.单孔机器人辅助离断式肾盂成形术经迷你Pfannenstiel 或脐周入路:单中心初步经验。
Urology. 2020 Sep;143:147-152. doi: 10.1016/j.urology.2020.05.041. Epub 2020 Jun 4.