机器人辅助腹腔镜下儿童肾脏异物取出1例报告

Robot-assisted laparoscopic surgery in removing renal foreign body in a child

目的报道1例机器人辅助腹腔镜下儿童肾脏异物取出病例的手术过程,为儿童内脏异物取出提供参考。方法和结果1例2岁女性患儿因“X线平片检查发现右肾异物1个月”入院。曾误诊为消化道异物,保守观察3周余未排出,就诊于我院后进一步完善检查,腹部CT提示右肾异物。应患儿家长要求行机器人辅助腹腔镜探查,术中探查见异物位于右肾下极,完整取出一针形金属异物。术中出血及损伤小,定位准确。术后随访44个月无异常。结论机器人辅助腹腔镜技术可应用于儿童肾脏异物取出,为儿童内脏异物的取出提供了一种新的手段。

Objective To report the surgical procedure of removing renal foreign body by robot-assisted laparoscopic surgery in a child,so as to provide reference for future incidence.Methods and Results A 2-year-old girl was admitted to the hospital for a foreign body in right kidney,which had been found by abdomen X-ray for 1 month.She had been misdiagnosed as having a gastrointestinal tract foreign body,and it was not discharged after conservative observation for more than 3 weeks.Further examination was performed in our hospital,and abdominal computed tomography showed a foreign body in the right kidney.Robot-assisted laparoscopic surgery was conducted at the request of her parents.A foreign body was found in the inferior pole of the right kidney,and was intactly removed.The foreign body was a metal needle.The intraoperative blood loss was less and injury was small,with accurate location.No abnormal findings were noted during a followup of 44 months.Conclusion Robot-assisted laparoscopy can be used for pediatric renal foreign body removal,which provides a new method for removing visceral foreign bodies in children.