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中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 235 -239. doi: 10.3877/cma.j.issn.1674-3253.2025.02.018

病例报告

单孔腹腔镜盆腔异位肾输尿管成形术一例报告
贺慷1, 杨诚1, 李建雄1, 罗新贵1, 刘存东1,()   
  1. 1. 510630 广州,南方医科大学第三附属医院泌尿外科
  • 收稿日期:2022-10-09 出版日期:2025-04-01
  • 通信作者: 刘存东
  • 基金资助:
    南方医科大学第三附属医院院长基金(NO.YL202201)

Single-site laparoscopic ureteroplasty for pelvic ectopic kidney with ureteral stenosis: a case report

Kang He1, Cheng Yang1, Jianxiong Li1, Xingui Luo1, Cundong Liu1,()   

  1. 1. Department of Urology,Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,China
  • Received:2022-10-09 Published:2025-04-01
  • Corresponding author: Cundong Liu
引用本文:

贺慷, 杨诚, 李建雄, 罗新贵, 刘存东. 单孔腹腔镜盆腔异位肾输尿管成形术一例报告[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 235-239.

Kang He, Cheng Yang, Jianxiong Li, Xingui Luo, Cundong Liu. Single-site laparoscopic ureteroplasty for pelvic ectopic kidney with ureteral stenosis: a case report[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 235-239.

目的

报告一例右侧盆腔异位肾并输尿管狭窄病例的诊治经过。

方法

回顾性分析南方医科大学第三附属医院1 例右侧盆腔异位肾并输尿管狭窄病例的临床资料,总结手术经验及体会。

结果

该例患者完善术前检查排除手术禁忌后行单孔腹腔镜下盆腔异位肾输尿管狭窄段修复重建术,术后8 d 顺利出院,随访5 个月复查彩超右侧输尿管未见扩张,右肾少量局限性积液,未出现漏尿、尿路感染、膀胱返流等并发症。

结论

异位肾常常无临床症状,通过影像学检查可明确诊断,单孔腹腔镜技术是一种安全可行的微创治疗方法。

Objective

To report a case of right pelvic ectopic kidney with ureteral stenosis,and analyze its diagnosis and treatment.

Methods

The data of one case of right pelvic ectopic kidney with ureteral stenosis in the Third Affiliated Hospital of Southern Medical University was analyzed retrospectively,and summarize the surgical experiences.

Results

After improving the preoperative examination and contraindications of exclusion surgery,the patient with ureteral stricture of pelvic ectopic kidney was repaired and reconstructed under laparoendoscopic single-site surgery.The patient was discharged smoothly on the 8th day after the operation.After a follow-up of five months,there was no expansion of the right ureter,a small amount of localized fluid accumulation in the right kidney,and no urine leakage,urinary tract infection,bladder regurgitation and other complications.

Conclusion

Ectopic kidney is often without clinical symptoms,and can be definitely diagnosed by imaging examination,single-site laparoscopy is a safe and feasible minimally invasive treatment.

图1 右侧盆腔异位肾伴输尿管狭窄患者影像 视频1 单孔腹腔镜下右侧输尿管狭窄段切除再吻合术联合右侧输尿管内支架置入术 图2 右侧盆腔异位肾伴输尿管狭窄患者术后复查腹部平片 图3 术后患者病理结果 图4 术后2 个月患者脐部切口 图5 术后5 个月患者腹部彩超 注:图1a 为静脉肾盂造影(30 min)示双侧输尿管显影,右侧肾盂输尿管移行区囊状扩张(箭头示),膀胱显影尚可;图1b 为CTU 可见右侧盆腔异位肾(箭头示);图1c 为全腹CTA 示左肾动脉开口于L4 椎体上缘水平,右肾动脉开口于L3 椎体下缘水平;图1d 为右侧肾盂输尿管逆行造影,可见输尿管上段扩张及狭窄段(箭头示);图2 示双J 管局限于盆腔内;图3 箭头所指炎性纤维血管增生,符合纤维性狭窄改变(HE 染色,×100);图5示双侧输尿管未见扩张,右肾少量局限性积液
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