Robotic-assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with conventional laparoscopic surgery
Robotic-assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with conventional laparoscopic surgery
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DOI：
10.1007/s13691-020-00420-8
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发表时间：
2020-06-04
影响因子：
0.7
通讯作者：
Habuchi，Tomonori
中科院分区：
文献类型：
--
作者：
Numakura，Kazuyuki;Muto，Yumina;Habuchi，Tomonori
机器人辅助腹腔镜肾部分切除术（RAPN）已成为小型肾肿瘤的标准治疗方法，越来越多的迹象表明可以完成该手术。虽然马蹄肾是最常见的先天性肾融合畸形之一，但由于其活动性差和异常的血管供应，手术计划被认为是困难的。我们展示了我们的经验，RAPN结合传统的腹腔镜肾动员和剥离的病人在马蹄肾肾细胞癌。患者为一名健康的66岁男性，马蹄肾下极有26 mm右肾肿块。机器人辅助允许适当的组织解剖，易于了解未确认的血管，以及细致的精细解剖，并将克服患者中所示的此类复杂异常的微创管理中涉及的潜在挑战。
Robotic-assisted laparoscopic partial nephrectomies (RAPN) have come up to standard treatment for small renal tumors, with a growing indication to accomplish this procedure. Although a horseshoe kidney is one of the most common congenital renal fusion anomalies, surgical planning for tumors is considered difficult because of its poor mobility and abnormal vascular supply. We showed our experience of RAPN in combination with conventional laparoscopic kidney mobilization and dissection for a patient with renal cell carcinoma in a horseshoe kidney. The patient was an otherwise healthy 66-year-old man with 26 mm right renal mass on the lower pole of the horseshoe kidney. Robotic assistance allows for proper tissue dissection, easy to aware unconfirmed vasculatures, and meticulous fine suturing and would overcome the potential challenges involved in the minimally invasive management of such complex anomalies as shown in the patient.