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机器人辅助下同期治疗肾盂输尿管连接处狭窄合并继发性肾结石一例报道
作者姓名:刘强照张晓峰马得茸郗新生郭柏鸿吕海迪张冲尹永生周逢海
作者单位:1.甘肃省人民医院泌尿外科730000;
基金项目:甘肃省自然科学基金(17JR5RA333)。
摘    要:目的:探讨机器人辅助治疗肾盂输尿管连接处狭窄(Ureteropelvic junction obstruction,UPJO)和同期治疗继发性与多发性肾结石的临床安全性。方法:回顾性分析1例机器人辅助治疗UPJO合并继发性和多发性肾结石患者的临床资料,包括术前一般检查、围手术期和术后复查资料。结果:患者顺利完成机器人辅助腹腔镜下左侧肾盂输尿管成形术+左侧肾盂切开取石术,术后复查结果提示所有继发性肾结石完全取净。结论:机器人辅助治疗UPJO合并继发性和多发性肾结石的手术是安全、可行的,且手术创伤小,无需二期处理继发性肾结石。

关 键 词:机器人辅助手术  腹腔镜  肾盂输尿管连接处狭窄  肾结石  微创

Robot-assisted laparoscopic pyeloureterostomy for urethral pelvic junction obstruction combined with secondary renal calculi: a case report
Authors:LIU Qiangzhao  ZHANG Xiaofeng  MA Derong  XI Xinsheng  GUO Baihong  LYU Haidi  ZHANG Chong  YIN Yongsheng  ZHOU Fenghai
Institution:(Department of Urology,Gansu Provincial People’s Hospital,Lanzhou 730000,China)
Abstract:Objective: To investigate the efficacy and feasibility of robot-assisted laparoscopic pyeloureterostomy in the treatment of ureteropelvic junction obstruction(UPJO) complicated with multiple and secondary renal calculi.Methods: A patient with UPJO complicated with multiple and secondary renal calculi underwent robot-assisted laparoscopic pyeloureterostomy was retrospectively analyzed. Perioperative and postoperative data were also collected and analyzed. Results: The robot-assisted laparoscopic pyeloureteroplasty and pyelolithotomy were successfully completed. The stones in the pelvis and calyx were fully removed. Conclusion: Robot-assisted laparoscopy is feasible and safe in the treatment of UPJO complicated with multiple and secondary renal calculi.
Keywords:Robot-assisted surgery  Laparoscope  Ureteropelvic junction obstruction  Renal calculi  Minimally invasive
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