微创医学2025，Vol.20Issue(1)：47-52,6.DOI:10.11864/j.issn.1673.2025.01.08
机器人辅助腹腔镜部分肾切除术治疗小儿重复肾的疗效与安全性分析
Efficacy and safety analysis of robot-assisted laparoscopic partial nephrectomy for the treatment of duplex kidney in pediatric patients
摘要
Abstract
Objective To investigate the clinical efficacy and safety of robot-assisted laparoscopic partial nephrectomy for the treatment of duplex kidney in pediatric patients.Methods A retrospective analysis was conducted on the clinical data of 4 children with duplex kidneys who underwent robotic surgery in the First Affiliated Hospital of Guangxi Medical University from February 2022 to August 2023.Diagnosed via urography and renal radionuclide scanning,all patients presented with duplex kidneys and renal function of less than 10%.Among them,there was 1 male and 3 females,whose ages spanned from 12 to 28 months.Moreover,2 cases were characterized as complete duplex kidneys,while the remaining 2 cases were incomplete duplex kidneys.The operative duration,intraoperative blood loss,and treatment outcomes of the four pediatric patients were collected and analyzed.Results For all four cases,the surgeries were successfully carried out using the robot-assisted laparoscopic surgery system.The operation time was 109 to164 minutes,with an average of 136 minutes.The intraoperative blood loss was 5 to 130 mL,with an average of 43.8 mL.The postoperative hospital stay was 4 to 8 days,with an average of 5.8 days.No postoperative complications such as urinary leakage,infection,or intestinal obstruction were observed.All patients were under follow-up for 12 to 22 months,during which the renal function of the affected side was regularly examined.Half a year after the operation,1 case showed a decline in renal function,but a reexamination after one year of follow-up revealed an improvement in the renal function of the affected side.As for the other three patients,their renal functions improved remarkably after the operation compared with that before operation.Conclusion Robot-assisted laparoscopic partial nephrectomy is a safe,reliable,and effective approach for treating duplex kidneys in pediatric patients.It excels particularly in detailed anatomical dissection and enabling swift recovery,thus offering a novel alternative for the surgical management of pediatric duplex kidneys.关键词
重复肾/机器人/腹腔镜/肾切除术/小儿Key words
Duplex kidney/Robot/Laparoscopic/Nephrectomy/Pediatric引用本文复制引用
裴开宗,蒋毅,王刚,王朝,韦世明,李彦强,陈超,林英甫,马芊芊,刘森田,董杰,黄琴,林舒婷,谢其科..机器人辅助腹腔镜部分肾切除术治疗小儿重复肾的疗效与安全性分析[J].微创医学,2025,20(1):47-52,6.基金项目
广西自然科学基金项目(编号:2024GXNSFAA010045) （编号:2024GXNSFAA010045）
