Abstract：Objective：To assess key points on retroperitoneoscopic heminephrectomy for duplex kidneys. Methods： Clinical data were reviewed in 12 cases of duplex kidney treated with retroperitoneoscopic heminephrectomy, and some key points including disconnection of renal pedicle vessels, preservation of partial renal parenchyma, removal of collecting system and suture of wounds in duplex kidneys were summarized. Results： ll retroperitoneoscopic operations were successfully completed without conversion to open surgery. The mean time was （153±35） min, and the mean intraoperative blood loss was （80±25） mL. The average hospital day for patients was （8.5±1.5） days after the operation. There was 1 case of urinary leakage and 1 case of bleeding. The residual semi-kidney in all patients functioned well at a mean follow-up of 9 months (range 6 to 36). Conclusion： Mastering and using the key points for retroperitoneoscopic hemi-nephrectomy may ensure successful operation and reduce the postoperative complications.
李云飞, 龚云, 张少峰, 甘伟, 张正龙, 季辉华, 陈胜, 王天宝, 刘云. 后腹腔镜半肾切除术治疗重复肾关键性技术探讨[J]. 微创泌尿外科杂志, 2019, 8(5): 294-297.
LI Yunfei, GONG Yun, ZHANG Shaofeng, GAN Wei, ZHANG Zhenglong, JI Huihua, CHEN Sheng, WANG Tianbao, LIU Yun. Key points of retroperitoneoscopic heminephrectomy for the treatment of duplex kidney. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(5): 294-297.
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