Laparoscopic upper-pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report
Laparoscopic upper-pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report
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DOI：
10.1111/iju.12897
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发表时间：
2015-11-01
影响因子：
2.6
通讯作者：
Matsuda, Tadashi
中科院分区：
文献类型：
--
作者：
Yoshida, Kenji;Kinoshita, Hidefumi;Matsuda, Tadashi
一名22岁女性被诊断为重复肾集合系统与肾积水和实质损失的上极的左肾。她接受了腹腔镜左上极肾切除术。虽然在手术过程中发现了复杂的肾门血管解剖结构，但使用三维图像分析设备（Synapse Vincent; Fuji Medical Systems，Tokyo，Japan）进行术前三维计算机断层扫描重建极大地帮助准确识别解剖学肾门。为了进一步的细节，使用Voronoi分解的虚拟肾部分切除术分析用于可视化由包括萎缩分裂线的选定动脉分支供应的区域。我们以选择性夹闭术控制出血，并依照术前计划安全地施行上极半肾切除术。
A 22-year-old woman was diagnosed with a duplicated renal collecting system with hydronephrosis and parenchymal loss in the upper pole of the left kidney. She underwent laparoscopic left upper-pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperative three-dimensional computed tomographic reconstruction using a three-dimensional image analysis device (Synapse Vincent; Fuji Medical Systems, Tokyo, Japan) greatly helped to accurately identify the anatomical renal hilum. For further detail, virtual partial nephrectomy analysis using a Voronoi decomposition was used to visualize the area supplied by a selected arterial branch including the atrophic cleavage line. We controlled the bleeding with selective clamping and safely carried out upper-pole heminephrectomy according to the preoperative plan.