北京大学学报（医学版）2025，Vol.57Issue(4)：666-669,4.DOI:10.19723/j.issn.1671-167X.2025.04.006
机器人辅助腹腔镜移植肾切除术经验总结
Experience summary of robot-assisted laparoscopic transplant nephrectomy
张启鸣 1侯小飞 1陈泽波 2田雨 1潘大猛 1刘磊 1张洪宪 1赵磊 1张树栋 1马潞林1
作者信息
- 1. 北京大学第三医院泌尿外科,北京 100191
- 2. 宜昌市中心人民医院泌尿外科,湖北宜昌 443000
- 折叠
摘要
Abstract
Objective:To review and summarize the experience of robot-assisted laparoscopic trans-plant nephrectomy,share the surgical steps and technical key points,and provide a reference for clinical practice.Methods:A retrospective analysis was conducted on the perioperative data of 5 patients who underwent robot-assisted laparoscopic donor nephrectomy at Peking University Third Hospital from August 2023 to December 2024.The surgical steps and key points were summarized.The continuous variables were described by medians(ranges).Results:A total of 5 patients were included in the analysis,of whom 2 were male and 3 were female.The median age of the patients was 37(31-68)years.The me-dian time from kidney transplantation to donor nephrectomy was 10(3-22)years.The indications for donor nephrectomy included recurrent hematuria,abdominal pain,malignant tumor of the transplanted kidney,and recurrent infection with hydronephrosis of the transplanted kidney.The excised transplanted kidneys from all the 5 patients had a single renal artery and a single renal vein.The median operation time was 212(145-351)min,the median blood loss was 300(20-500)mL,and the median post-operative hospital stay was 7(4-25)days.Only 1 patient experienced intraoperative complications,who experienced an external iliac artery injury during the operation and underwent suture repair.No pa-tient died during the perioperative period.Postoperative pathological results showed that 3 patients had end-stage non-functional kidneys,1 patient had BK virus-associated urothelial carcinoma,and 1 patient had chronic pyelonephritis with renal parenchymal atrophy.Conclusion:Robot-assisted laparoscopic transplant nephrectomy as a new surgical approach is feasible and safe.Compared with traditional open transplant nephrectomy,its advantage lies in the ability to directly observe and prioritize the management of the renal pedicle of the transplanted kidney,while completely freeing and removing the transplanted kidney outside the renal capsule.With the continuous accumulation of experience,this surgical technique is expected to become a powerful alternative to traditional open transplant nephrectomy.关键词
肾移植/移植物/肾切除术/机器人手术Key words
Kidney transplantation/Transplants/Nephrectomy/Robotic surgical procedures分类
医药卫生引用本文复制引用
张启鸣,侯小飞,陈泽波,田雨,潘大猛,刘磊,张洪宪,赵磊,张树栋,马潞林..机器人辅助腹腔镜移植肾切除术经验总结[J].北京大学学报（医学版）,2025,57(4):666-669,4.
