腰腹联合入路机器人辅助马蹄肾右肾部分切除术1例报告(“大家泌尿网”观看手术视频)

Robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach in the treatment of right horseshoe kidney:one case report

目的探讨腰腹联合入路机器人辅助马蹄肾(HSK)右肾部分切除术治疗HSK合并肾肿瘤的可行性与安全性。方法报道安徽医科大学第一附属医院收治的1例HSK合并肾肿瘤的患者的临床及随访资料。本例患者的治疗创新性采用腰腹联合入路机器人辅助HSK右肾部分切除术,术前经肾脏计算机断层扫描平扫、增强+血管成像明确诊断及血供,术后随访。结果手术顺利完成,手术时间为270 min。术中热缺血时间30 min,术中出血约300 mL,术中及术后无并发症出现。术后2个月随访,患者恢复良好,未见胸腹部淋巴结肿大及肺部转移灶。结论腰腹联合入路机器人辅助HSK肾部分切除术是治疗HSK合并肾肿瘤安全可行的微创治疗方案。

Objective To explore the feasibility and safety of robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach in the treatment of horseshoe kidney with renal tumor.Methods Clinical and follow-up data of a patient with horseshoe kidney with renal tumor were retrospectively analyzed.Before operation,the diagnosis was confirmed with renal CT scanning and enhancement with angiography to show the blood supply.After that,the patient underwent robot-assisted partial right nephrectomy for horseshoe kidney by robot-assisted partial right nephrectomy using a combined retroperitoneal and transperitoneal approach.After operation,the patient was followed up.Results The operation went smooth with an operation time of 270 min.The intraoperative warm ischemia time was 30 min,intraoperative bleeding was approximately 300 mL,and no intraoperative or postoperative complications occurred.After 2 months of follow-up,the patient recovered well,and no chest and abdominal lymph node enlargement and lung metastasis were observed.Conclusion Robot-assisted partial nephrectomy of horseshoe kidney using a combined retroperitoneal and transperitoneal approach is a safe and feasible minimally invasive treatment option.