关键词: Calyceal diverticula Pediatric Renal cyst Robot assisted

Mesh : Diagnosis, Differential Flank Pain / diagnosis Humans Infant Kidney / diagnostic imaging surgery Kidney Diseases, Cystic / diagnosis physiopathology surgery Laparoscopy / instrumentation methods Magnetic Resonance Imaging / methods Male Nephrotomy / instrumentation methods Robotic Surgical Procedures / instrumentation methods Treatment Outcome Urography / methods

来  源:   DOI:10.1186/s13256-018-1830-9   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: Incidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children. A minimally invasive procedure in different sittings is often recommended.
METHODS: A Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. He was subjected to magnetic resonance urography and was diagnosed as having right renal cyst and contralateral calyceal diverticula. He underwent robotic cyst decortication and calyceal diverticulectomy using da Vinci robot. His postoperative period was uneventful. He was discharged on fifth postoperative day. Histopathology was consistent with simple renal cyst.
CONCLUSIONS: Robotic combined cyst decortication and contralateral diverticulectomy is feasible in selected small children. However, it demands adequate technical skill and experience.
摘要:
背景:儿童对侧肾同时发生肾囊肿伴肾盏憩室的情况很少发生。通常建议在不同的位置进行微创手术。
方法:一名15个月大的中国男孩因右侧腹部疼痛就诊于三级护理中心泌尿外科。他接受了磁共振尿路造影检查,被诊断为右肾囊肿和对侧肾盏憩室。他使用达芬奇机器人进行了机器人囊肿剥脱术和肾盂憩室切除术。他的术后时间很顺利。他在术后第五天出院。组织病理学符合单纯性肾囊肿。
结论:机器人联合囊肿剥脱术和对侧憩室切除术在选定的幼儿中是可行的。然而,它需要足够的技术技能和经验。
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