经腹膜后腹腔镜肾输尿管切除术成功治疗1例同侧输尿管癌患者。

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI:10.1093/jscr/rjae815
Takuto Ogasawara, Toshiaki Tanaka, Tetsuya Shindo, Yuki Kyoda, Kohei Hashimoto, Ko Kobayashi, Naoya Masumori
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引用次数: 0

摘要

胸肾是一种少见的异位肾。我们报告的情况下,一个76岁的男子谁发展的输尿管癌,同侧的胸肾。他表现为右上腹腹痛。计算机断层扫描显示右侧肾积水位于胸腔,横膈膜升高。进一步检查发现右上输尿管cT2N0M0输尿管癌。采用腹膜后入路行腹腔镜右肾输尿管根治性切除术。腹膜后空间为通常的端口放置而创建。在第11和第12肋骨之间增加了一个端口,以方便处理门上区域,特别是在没有气胸的情况下剥离上侧面和分离肾脏。据我们所知,这是首例成功的经腹膜后入路的完整腹腔镜手术治疗与胸肾相关的恶性疾病的报道。
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Successful retroperitoneal laparoscopic nephroureterectomy for thoracic kidney in a patient with ipsilateral ureteral cancer.

A thoracic kidney is a scarce type of ectopic kidney. We report the case of a 76-year-old man who developed cancer of the ureter, ipsilateral to the thoracic kidney. He presented with abdominal pain in the right upper quadrant. Computed tomography revealed a right hydronephrotic kidney located in the thorax with elevation of the diaphragm. Further examination uncovered a cT2N0M0 ureteral cancer in the right upper ureter. A laparoscopic radical right nephroureterectomy was performed using a retroperitoneal approach. The retroperitoneal space was created for the usual port placement. A port between the 11th and 12th ribs was added to facilitate handling the suprahilar area, specifically the dissection of the superior aspect and separation of the kidney without accompanying pneumothorax. To our knowledge, this is the first report of a successful complete laparoscopic surgery via the retroperitoneal approach for a malignant disease associated with a thoracic kidney.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
期刊最新文献
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