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首页> 外文期刊>Surgical Endoscopy >Retroperitoneoscopic nephroureterectomy of a horseshoe kidney in a child.
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Retroperitoneoscopic nephroureterectomy of a horseshoe kidney in a child.

机译：儿童腹腔镜肾盂肾切除术。

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摘要

Retroperitoneoscopic heminephrectomy used to manage a horseshoe kidney in a 15-month-old boy is reported. The surgery was decided after a progressive increase of arterial blood pressure in the patient followed for poor kidney functioning resulting from vesicoureteral reflux in both ureters of the left duplex moiety of a horseshoe kidney. The retroperitoneoscopy was conducted with three trocars: a 10-mm port inserted under direct vision at the extremity of the left 12th rib and two 5-mm operating trocars. Division of the isthmus was performed using an ultrasonic scalpel. Duration of the pneumoretroperitoneum was 115 min. The patient was discharged on postoperative day 4. At 2 years postoperatively, the patient's arterial blood pressure was normal without treatment. The authors conclude that retroperitoneoscopic nephrectomy for horseshoe kidney is safe and feasible in children, offering all the advantages of minimally invasive surgical procedures.
机译：据报道，在一个15个月大的男孩中，腹腔镜后肾切除术用于处理马蹄肾。手术是在患者的动脉血压逐渐升高之后做出的，随后由于马蹄形肾脏左双工部分的两个输尿管中的膀胱输尿管反流导致肾脏功能不佳。腹膜后镜检查是用三只套管针进行的：在直视下在左第十二肋骨的末端插入一个10毫米端口，并用两只5毫米套管针进行手术。使用超声解剖刀进行峡部的分割。气腹腹膜炎的持续时间为115分钟。患者在术后第4天出院。术后2年，未经治疗患者的动脉血压正常。作者得出的结论是，腹膜后镜肾切除术对儿童来说是安全可行的，具有微创外科手术的所有优势。

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