机器人辅助腹腔镜下根治性肾切除术治疗严重脊柱侧弯的肾细胞癌患者：病例报告
Robot-Assisted Laparoscopic Radical Nephrectomy in a Renal Cell Carcinoma Patient With Severe Scoliosis: A Case Report.
作者信息
Kawamura Tatsuya, Ikarashi Daiki, Ito Ayato, Shiomi Ei, Maekawa Shigekatsu, Kato Renpei, Kanehira Mitsugu, Takata Ryo, Obara Wataru
机构信息
Department of Urology Iwate Medical University School of Medicine Iwate Japan.
出版信息
IJU Case Rep. 2025 May 5;8(4):352-355. doi: 10.1002/iju5.70037. eCollection 2025 Jul.
INTRODUCTION
Laparoscopic nephrectomy in patients with severe scoliosis presents significant challenges due to altered anatomy and limited space. This case report discusses using robot-assisted laparoscopic radical nephrectomy in such a scenario.
CASE PRESENTATION
A 68-year-old man with severe right convex scoliosis was diagnosed with cT3aN0M0 right locally advanced renal cell carcinoma. Given the anatomical distortions caused by scoliosis, traditional laparoscopic techniques posed difficulties. We opted for robot-assisted laparoscopic radical nephrectomy, carefully planning the port placement and surgical approach to accommodate the patient's unique anatomical features.
CONCLUSION
This is the first reported instance of robot-assisted laparoscopic radical nephrectomy in a patient with severe scoliosis. The successful outcome demonstrates the feasibility and benefits of robotic assistance in overcoming the technical difficulties associated with scoliosis, offering a viable surgical option for similar cases.
引言
严重脊柱侧弯患者的腹腔镜肾切除术因解剖结构改变和空间受限而面临重大挑战。本病例报告讨论了在这种情况下使用机器人辅助腹腔镜根治性肾切除术。
病例介绍
一名68岁男性，患有严重的右凸脊柱侧弯，被诊断为cT3aN0M0右局部晚期肾细胞癌。鉴于脊柱侧弯引起的解剖结构扭曲，传统腹腔镜技术存在困难。我们选择了机器人辅助腹腔镜根治性肾切除术，仔细规划了端口放置和手术入路，以适应患者独特的解剖特征。
结论
这是首次报道在严重脊柱侧弯患者中进行机器人辅助腹腔镜根治性肾切除术。成功的结果证明了机器人辅助在克服与脊柱侧弯相关的技术困难方面的可行性和益处，为类似病例提供了可行的手术选择。
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