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经腹腹腔镜半肾切除术治疗成人重复肾畸形(附12例报告)

Transperitoneal laparoscopic heminephrectomy for duplex kidney in adults(Repot of 12 cases)
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摘要 目的:探讨经腹腹腔镜半肾切除术治疗成人重复肾畸形的方法、可行性和临床疗效。方法:回顾我院2010年6月-2014年1月采用经腹腹腔镜行重复肾畸形上半肾切除术治疗12例患者,其中男4例,女8例,年龄18-56岁,平均36岁。左侧9例,右侧3例,12例重复肾畸形患者均为上半肾病变。结果:12例手术均获成功,无中转开放手术。手术时间60-120min,平均90min;术中出血量20-150ml,平均50ml;术后肠道功能恢复时间1-3d,平均2d;术后24-72h进流食,3-4d拔除引流管;术后住院时间7-9d,平均8d;术后随诊6-15个月,平均9个月;术后3、6个月内均行IVU检查,下半肾功能均正常,原发症状消失。结论:经腹腹腔镜半肾切除术治疗成人重复肾畸形具有手术视野开阔、住院时间短、创伤小、恢复快等优点,是治疗成人重复肾畸形安全有效的手术方法。 Objective:To explore the technique,feasibility and clinical efficacy of transperitoneal laparoscopic heminephrectomy for duplex kidney in adults.Method:Twelve cases of duplex kidney cured by transperitoneal laparoscopic heminephrectomy from June 2010 to January 2014 were reviewed including four males and eight females.The mean age was 36(range,18-56)years.Nine duplex kidneys were on the left side and three were on the right side.All duplex kidneys were on the upper pole.Result:All patients underwent operations successfully without conversion to open surgery.The mean surgical time was 90(range,60-120)min.The mean blood loss was 50(range,20-150)ml.The mean postoperative intestinal function recovery time was 2(range,1-3)days.Patients restarted a liquid diet 24-72 hours postoperatively.The extubation time was 3-4days postoperatively.The mean postoperative hospital stay was 8(range,7-9)days.The mean follow-up period was 9(range,6-15)months.The examination of IVU was performed at postoperative three and six months.Patients' renal functions were normal and the primary symptoms disappeared.Conclusion:Transperitoneal laparoscopic heminephrectomy is a safe,effective technique for duplex kidney in adults,with some advantages of wide vision,short hospital stay,minimal invasion and quick recovery.
出处 《临床泌尿外科杂志》 2014年第10期912-914,共3页 Journal of Clinical Urology
关键词 重复肾畸形 半肾切除术 腹腔镜 duplex kidney heminephrectomy laparoscopy
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参考文献10

  • 1De Caluwe D, Chertin B, Purl P. Fate of the retained ureteral stump after upper pole heminephreetomy in du- plexkidneys[J]. J Urol, 2002, 168(2): 679-680.
  • 2黄澄如.泌尿生殖系先天性畸形[M] //吴阶平.吴阶平泌尿外科学上.济南:山东科学技术出版社,2004,498-500.
  • 3陈孝平,汪建平.外科学[M].第8版.北京:人民卫生出版社,2013.
  • 4李保军,于洪波,张斌,李久明,吴宏飞.后腹腔镜半肾输尿管切除术治疗成人重复肾25例报告[J].临床泌尿外科杂志,2013,28(6):410-412. 被引量:2
  • 5徐奔,张骞,席志军,肖云翔,何志嵩,金杰,周利群.腹腔镜与开放手术半肾切除治疗成人重复肾的疗效比较[J].临床泌尿外科杂志,2012,27(4):258-261. 被引量:5
  • 6Gao Z, Wu J, Lin C, et al. Transperitoneal laparo- scopic heminephrectomy in duplex kidney: our initial experience[J]. Urology, 2011, 77(1): 231-236.
  • 7Piaggio L, Franc Guhnond J, Figueroa T E, et al. Comparison of laparoscopie and open partial nephreeto- my for duplication anomalies in children[J]. J Urol, 2006, 175(6): 2269-2273.
  • 8Valla J S, Breaud J, Carfagna L, et al. Treatment of ureterocele on duplex ureter: upper pole nephrectomy by retroperitorreoscopy in children based on a series of 24 cases[J]. Eur Urol, 2003, 43(4): 426-429.
  • 9Wang D S, Bird V G, Cooper C S, et al. Laparoseopic upper pole heminephrectomy for ectopic ureter: initial experience[J]. CanJ Urol, 2004, 11(1): 2141-2145.
  • 10宋超,李九智,王玲珑,杨嗣星,钱辉军.腹腔镜下重复肾及输尿管切除治疗重复肾的疗效分析[J].国际泌尿系统杂志,2012,32(1):3-5. 被引量:2

二级参考文献18

  • 1彭世波,曾甫清,汪良,张士龙,李恒,鞠文.重复肾双输尿管畸形的手术治疗[J].临床泌尿外科杂志,2007,22(1):8-10. 被引量:12
  • 2Kazemi Rashed F, Simforoosh N. Gil Vernet amireflux surgery in treatment of lower pole refluxEJ2. J Urol, 2005, 2:20- 22.
  • 3Jordan G H, Winslow B H.Laparoendoscopic upper pole partial nephrectomy with ureterectomy [J]. J Urol, 1993, 150(3):940-943.
  • 4Gundeti M S, Ransley P G, Duffy P G, et al. Renal outcome following heminephrectomy for duplex kidney [J]. J Urol, 2005, 173(5):1743-1744.
  • 5Gill I S, Sung G T, Hobart M G, et al. l.aparoscopic radical nephroureterectomy for upper tract transitional cell carcinoma: the Cleveland Clinic experience[J]. J Urol, 2000, 164(5) :1513-1522.
  • 6De Caluwe D, Chertin B, Purl P. Fate of the retained ureteral stump after upper pole heminel?hrectomy in duplex kidneys[J]. J Urol, 2002, 168:679- 680.
  • 7Li HZ,Ma X,Zhang J. Retroperitoneal laparoscopic upperpole nephroureterectomy for duplex kidney anomalies in adult patients[J].Urology,2011.1122-1125.
  • 8De Caluwe,Chertin DB,Puri P. Long-term outcome of the retained ureteral stump after lower pole heminephrectomy in duplex kidneys[J].European Urology,2002.63-66.
  • 9Borzi PA,Yeung CK. Selective approach for transperitoneal and extraperitoneal endoscopic nephrectomy in children[J].The Journal of Urology,2004.814-816.doi:10.1097/01.ju.0000108893.84835.e8.
  • 10Gao ZJ,Wu C,Lin. Transperitoneal laparoscopic heminephrectomy in duplex kidney:our initial experience[J].Urology,2011.231-236.doi:10.1016/j.urology.2010.02.002.

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