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一例右肾上腺静脉解剖变异病例。

A case of aberrant right adrenal vein anatomy.

作者信息

Humphries Danielle, Marquez Bianca, Pindicura Sundarachalam, Ghanem Maher

机构信息

Department of Surgery, Central Michigan University College of Medicine, 912 S. Washington Avenue, Saginaw, MI 48601, United States.

出版信息

J Surg Case Rep. 2025 Jun 18;2025(6):rjaf401. doi: 10.1093/jscr/rjaf401. eCollection 2025 Jun.

DOI:10.1093/jscr/rjaf401
PMID:40585935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12203657/
Abstract

We report a case of a robotic-assisted excision of a right adrenal gland with an aberrant right adrenal vein. A 62-year-old female presented with uncontrolled hypertension that led to the diagnosis of a right adrenal mass. Based on the clinical, imaging, and laboratory findings, the patient underwent an elective robotic-assisted right adrenalectomy. We provide an overview of the intraoperative findings and highlight the significance of utilizing a minimally invasive approach for the excision of adrenals with atypical vascular anatomy.

摘要

我们报告一例通过机器人辅助切除右侧肾上腺及异常右肾上腺静脉的病例。一名62岁女性因高血压控制不佳前来就诊,最终诊断为右侧肾上腺肿物。基于临床、影像学及实验室检查结果,该患者接受了择期机器人辅助右侧肾上腺切除术。我们概述了术中所见,并强调了对于具有非典型血管解剖结构的肾上腺采用微创方法切除的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6906/12203657/a7d52f7a4e54/rjaf401f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6906/12203657/ded891f81500/rjaf401f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6906/12203657/a7d52f7a4e54/rjaf401f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6906/12203657/ded891f81500/rjaf401f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6906/12203657/a7d52f7a4e54/rjaf401f2.jpg

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本文引用的文献

1
Comparing surgical outcomes of approaches to adrenalectomy - a systematic review and network meta-analysis of randomised clinical trials.比较不同肾上腺切除术入路的手术效果 - 一项随机临床试验的系统回顾和网络荟萃分析。
Langenbecks Arch Surg. 2023 May 5;408(1):180. doi: 10.1007/s00423-023-02911-7.
2
Tailored Approach in Adrenal Surgery: Retroperitoneoscopic Partial Adrenalectomy.经腹腔鏡下部分腎上腺切除術:個體化治療方案。
Front Endocrinol (Lausanne). 2022 Mar 28;13:855326. doi: 10.3389/fendo.2022.855326. eCollection 2022.
3
A cadaveric anatomical study: anatomy and anatomical variations of left adrenal vein.
一项尸体解剖研究:左肾上腺静脉的解剖结构和解剖变异。
Surg Radiol Anat. 2022 May;44(5):689-695. doi: 10.1007/s00276-022-02930-x. Epub 2022 Apr 1.
4
Robot Assisted Laparoscopic Adrenalectomy: Does Size Matter?机器人辅助腹腔镜肾上腺切除术:大小重要吗?
Cureus. 2020 Aug 20;12(8):e9887. doi: 10.7759/cureus.9887.
5
Laparoscopic versus open surgery for pheochromocytoma: a meta-analysis.腹腔镜手术与开放手术治疗嗜铬细胞瘤的Meta分析
BMC Surg. 2020 Jul 25;20(1):167. doi: 10.1186/s12893-020-00824-6.
6
Robotic adrenalectomy: when and how?机器人辅助肾上腺切除术:时机与方式?
Gland Surg. 2020 Feb;9(Suppl 2):S166-S172. doi: 10.21037/gs.2019.12.11.
7
Robotic Adrenalectomy: Are We Expanding the Indications of Minimally Invasive Surgery?机器人肾上腺切除术:我们是否正在扩大微创手术的适应症?
J Laparoendosc Adv Surg Tech A. 2019 Jan;29(1):19-23. doi: 10.1089/lap.2018.0286. Epub 2018 Sep 28.
8
Laparoscopic versus robotic adrenalectomy: A comprehensive meta-analysis.腹腔镜与机器人肾上腺切除术:一项全面的荟萃分析。
Int J Surg. 2017 Feb;38:95-104. doi: 10.1016/j.ijsu.2016.12.118. Epub 2016 Dec 30.
9
A review of the anatomy and clinical significance of adrenal veins.肾上腺静脉的解剖结构及临床意义综述。
Clin Anat. 2014 Nov;27(8):1253-63. doi: 10.1002/ca.22374. Epub 2014 Apr 15.
10
Robotic versus laparoscopic adrenalectomy: a systematic review and meta-analysis.机器人与腹腔镜肾上腺切除术的比较:系统评价和荟萃分析。
Eur Urol. 2014 Jun;65(6):1154-61. doi: 10.1016/j.eururo.2013.09.021. Epub 2013 Sep 20.