Tamboli Zain, Srivastava Alok, Dhayal Ishwar Ram, Singh Sanjeet
Department of Urology and Renal Transplantation, Dr. RMLIMS, Lucknow, Uttar Pradesh, India.
J Minim Access Surg. 2025 Jul 1;21(3):251-255. doi: 10.4103/jmas.jmas_14_24. Epub 2025 Apr 8.
Crossed fused renal ectopia manifests as an operative challenge to the minimally invasive urologist. Provided that certain preset steps are meticulously followed and the anatomy is understood, it is not a difficult task to operate on these cases.
This is a retrospective study of 15 cases at our Dr. RMLIMS, Lucknow over a period of 5 years.
The mean operative time was 117.3 minutes and the mean blood loss was 99.3 ml. Two arteries were encountered in 53.3 % of cases, but they can vary in number from a single artery to even six, as found in our series. Two veins were found in 46.6 % of cases, and even up to four veins can be found.
Tackling a case of crossed fused inferior renal ectopia by laparoscopic simple nephrectomy is possible with ease and confidence, provided that certain steps are carefully followed to minimize the possibility of complications and conversion to open surgery.
交叉融合肾异位对微创泌尿外科医生来说是一项手术挑战。只要精心遵循某些预设步骤并了解解剖结构，对这些病例进行手术并非难事。
这是一项对勒克瑙RMLIMS医院5年间15例病例的回顾性研究。
平均手术时间为117.3分钟，平均失血量为99.3毫升。53.3%的病例中发现两条动脉，但动脉数量在我们的系列研究中可从单条动脉到多达六条不等。46.6%的病例中发现两条静脉，甚至可发现多达四条静脉。
只要仔细遵循某些步骤以尽量减少并发症和转为开放手术的可能性，通过腹腔镜单纯肾切除术轻松且自信地处理交叉融合性低位肾异位病例是可行的。
