A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation.
A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation.
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DOI：
10.1155/2022/9948425
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发表时间：
2022
影响因子：
--
通讯作者：
Watanabe T
中科院分区：
文献类型：
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作者：
Sekito T;Araki M;Wada K;Yoshinaga K;Maruyama Y;Sadahira T;Katayama S;Iwata T;Nishimura S;Sako T;Edamura K;Kobayashi Y;Watanabe T
肾移植后淋巴囊肿的腹腔镜开窗术与肾门血管和输尿管损伤的风险相关。因此，切口线的确定是困难的。我们描述了一个73岁的男性肾移植后淋巴囊肿谁接受了腹腔镜开窗术。我们报告了一个手术视频，其中包含一种新的技术，腹腔镜开窗术，使用荧光输尿管导管结合柔性输尿管镜。术中荧光输尿管导管和输尿管软镜的结合使我们能够安全准确地确定切口线。术中使用荧光输尿管导管和输尿管软镜实时显示淋巴囊肿和输尿管比传统的腹腔镜开窗术更安全。据我们所知，这是这项新技术的首次报道。
Laparoscopic fenestration of a postrenal transplant lymphocele is associated with a risk of renal hilar vessel and ureteral injury. Consequently, determination of the incision line is difficult. We describe a case of a 73-year-old man with postrenal transplant lymphocele who underwent a laparoscopic fenestration. We report a surgical video containing a new technique of laparoscopic fenestration using a fluorescent ureteral catheter in combination with a flexible ureteroscope. The combination of a fluorescent ureteral catheter and flexible ureteroscope during surgery enabled us to determine the incision line safely and accurately. Intraoperative real-time visualization of the lymphocele and ureter using a fluorescent ureteral catheter and a flexible ureteroscope is safer than conventional methods for laparoscopic fenestration. To the best of our knowledge, this is the first report of this novel technique.