经腹膜后入路机器人辅助单孔腹腔镜肾部分切除治疗孤立肾肾癌合并双肾盂双输尿管畸形一例报道  

Robot-assisted single-port laparoscopic retroperitoneal partial nephrectomy for solitary renal metastasis with double renal pelvis and ureter malformation:a case report

作　　者：魏勇 王省博 左文仁 王世衍 苏健[2] 朱清毅 WEI Yong;WANG Xingbo;ZUO Wenren;WANG Shiyan;SU Jian;ZHU Qingyi(Department of Urology,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China;Department of Urology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京医科大学第二附属医院泌尿外科,江苏南京210011 [2]南京中医药大学附属医院泌尿外科,江苏南京210029

出　　处：《机器人外科学杂志（中英文）》2023年第1期79-84,共6页Chinese Journal of Robotic Surgery

基　　金：2021年江苏省卫生健康委科研项目(ZD2021028)。

摘　　要：南京中医药大学附属医院泌尿外科2021年4月收治1例左侧孤立肾合并肾透明细胞癌患者,术前行MRI检查提示患者同时合并罕见的双肾盂双输尿管畸形变异。经术前充分评估,考虑患者解剖变异较大,为避免术中重复肾盂及输尿管损伤,笔者为患者行经腹膜后入路机器人辅助单孔腹腔镜手术。术中充分游离左肾动脉,精准阻断肾下极供应血管,行根治性肾部分切除术。手术进展顺利,手术时间为80min,术中出血量为30ml,无围手术期并发症发生,患者术后顺利出院。孤立肾双肾盂双输尿管重复畸形合并肾透明细胞癌病例罕见,需进行充分的术前影像学评估。经腹膜后入路的机器人辅助单孔腹腔镜手术中解剖精细,创伤小,术后恢复快,是临床可行的手术方式。A case of solitary kidney with renal cell carcinoma in left kidney was admitted to the department of urology of Affiliated Hospital of Nanjing University of Chinese Medicine in April 2021.Preoperative MRI examination showed malformation of double renal pelvis and ureters.To avoid repeated injury of renal pelvis and ureters during surgery,robot-assisted single-port laparoscopic surgery with retroperitoneal approach was performed.During the operation,the left renal artery was fully dissociated,the supply vessels of the lower pole of the kidney were precisely blocked,and radical partial nephrectomy was performed.The surgery was completed smoothly,with an operation time of 80min and blood loss of 30ml.No perioperative complications were found.The patient was successfully discharged.Double renal pelvis and ureter malformation of solitary kidney with renal clear cell carcinoma is rare,which needs adequate evaluation based on preoperative imaging.Robot-assisted single-port laparoscopic retroperitoneal surgery is clinically feasible to treat renal cell carcinoma with small trauma and quick recovery.

关 键 词：腹膜后入路 机器人辅助手术 单孔腹腔镜 双肾盂输尿管畸形 孤立肾 

分 类 号：R693.1[医药卫生—泌尿科学] R737.11[医药卫生—外科学]