Intraperitoneal laparoscopic technique in trendelenburg position: an effective surgical method for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys.

IF 1.7 3区医学 Q3 UROLOGY & NEPHROLOGY

BMC Urology Pub Date : 2024-10-28 DOI:10.1186/s12894-024-01631-4

Ming Xiong, Zhaohui Chen, Xiaoming Wang, Huiling Jiang, Zhicheng Luo, Guancai Liang, Teng Hou

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引用次数: 0

Abstract

Purpose: To evaluate the safety and feasibility of intraperitoneal laparoscopic surgery in Trendelenburg position (ILSTP) for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys (HSKs).

Methods: Between March 2021 and March 2024, three patients with HSKs underwent ILSSP. Of these three patients, two with pelvi-ureteric junction obstruction with recurrent kidney stones underwent pyelolithotomy and pyeloplasty, one with symptomatic nonfunctioning left moiety of a HSK was managed with heminephrectomy.

Results: Mean operating time was 114 ± 64.8 (44-172) min, and estimated blood loss was 63.3 ± 51.3 (20-120) ml. The mean hospital stay was 3.3 ± 1.5 (2-5) days. There were no major intra- or post-operative complications.

Conclusions: ILSTP is a feasible and effective technique for performing pyelolithotomy, pyeloplasty, and heminephrectomy in patients with HSKs.

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腹腔内腹腔镜技术：马蹄肾患者肾盂切开术、肾盂成形术和半肾切除术的有效手术方法。

目的：评估马蹄肾（HSKs）患者在 Trendelenburg 体位（ILSTP）下接受腹腔镜手术进行肾盂切开术、肾盂成形术和半肾切除术的安全性和可行性：在 2021 年 3 月至 2024 年 3 月期间，三名 HSK 患者接受了 ILSSP。在这三名患者中，两名患有肾盂输尿管交界处梗阻并伴有复发性肾结石的患者接受了肾盂切开术和肾盂成形术，一名患有HSK左侧无症状无功能的患者接受了半肾切除术：平均手术时间为 114 ± 64.8 (44-172) 分钟，估计失血量为 63.3 ± 51.3 (20-120) 毫升。平均住院时间为 3.3 ± 1.5 (2-5) 天。术中和术后均无重大并发症：ILSTP是为HSK患者实施肾盂切开术、肾盂成形术和半肾切除术的一种可行且有效的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Urology UROLOGY & NEPHROLOGY-

CiteScore

3.20

自引率

0.00%

发文量

177

审稿时长

>12 weeks

期刊介绍： BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.