后腹腔镜下左肾静脉外支架固定术治疗胡桃夹综合征1例报告  

Retroperitoneal laparoscopic left renal vein extravascular stenting for nutcracker syndrome:report of one case

作　　者：张雪培[1] 任选义[1] 王声政[1] 王天恩[1] 魏金星[1] 陶金[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州450052

出　　处：《微创泌尿外科杂志》2014年第3期138-141,共4页Journal of Minimally Invasive Urology

摘　　要：目的:探讨后腹腔镜前入路左肾静脉外支架固定术治疗胡桃夹综合征(NCS)的最初经验,并分享首例手术经验。方法:对1例成年男性NCS患者采用后腹腔镜前入路左肾静脉人工血管外支架置入固定术治疗,记录其手术过程并观察疗效。结果:手术顺利完成,无重要脏器和大血管损伤。手术时间80min,术中出血量50ml。术后肉眼血尿消失,无淋巴瘘等并发症。结论:经后腹腔前入路左肾静脉外支架固定术治疗NCS具有独特的优越性,可迅速抵达肾蒂大血管并容易暴露肾静脉,使支架置入变得简单易行。To-investigate-a-new-techni-que-of-retroperitoneal-laparoscopic-left-renal-vein-extravascular-stenti-ng-for-treatment-of-nutcracker-syndro-me-(NCS-)and-share-initial-surgical-experience-.Methods-:In-one-case-of-NCS-treated-by-retroperitoneal-anteri-or-laparoscopic-left-renal-vein-extravascular-stenti-ng-,the-operati-onal-process-and-effects-were-recorded-and-observed-.Results-:The-operati-on-was-perfor-med-successfull-y-without-surgical-co-mplica-ti-ons-.The-operati-ve-ti-me-was-80-mi-n-and-the-blood-loss-was-50-mL-.The-gross-he-maturia-was-vanished-and-nolym-phatic-fistula-occurred-.Conclusions-:The-retroperitoneal-anteri-or-laparoscopic-extravascular-stent-of-the-renal-vein-could-be-a-feasi-ble-approach-for-the-treatment-of-NCS-.It-has-a-superi-ority-of-quickly-arriving-at-kidney-pedicle-and-exposi-ng-renal-vein-easil-y-.

关 键 词：胡桃夹综合征 腹腔镜手术 腹膜后入路 血管外支架 

分 类 号：R692[医药卫生—泌尿科学]