机器人辅助腹腔镜多支动脉肾移植术

doi:10.19558/j.cnki.10-1020/r.2021.01.003

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摘要 目的: 探讨机器人辅助腹腔镜多支动脉肾移植术的可行性。方法: 中国人民解放军总医院第一医学中心于2019年9月23日、2019年12月30号完成机器人辅助腹腔镜多支动脉异体肾移植术及机器人辅助腹腔镜多支动脉自体肾移植术（孤立肾）各1例。采用机器人辅助腹腔镜技术将两支肾动脉分别与髂外动脉在体内行端侧吻合。结果: 2例手术均顺利完成,异体肾移植术耗时148 min,供肾热缺血时间1 min12 s,术后7 d血肌酐126.6 μmol/L,术后1年血肌酐123.9 μmol/L,术后随访1年无并发症发生;自体肾移植术耗时8 h30 min,热缺血时间2 min40 s,术后短期肌酐升高,术后6个月肌酐为121.2 μmol/L,术后随访6个月无并发症发生。结论: 机器人辅助腹腔镜多支动脉肾移植术可行,手术细节尚需进一步优化。

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	赵鉴明
	陈欣
	范阳
	史立新
	祖强
	黄双
	张磊
	王云鹏
	祝强
	周启玮
	张旭
	董隽

关键词 ：机器人辅助腹腔镜技术, 肾移植术, 多支动脉

Abstract：Objective: To investigate the feasibility of robotic-assisted kidney transplantation in graft with multiple vessels. Methods: One patient underwent robotic allogeneic kidney transplantation in September 23, 2019. One patient underwent robotic kidney autotransplantation in December 30, 2019. Separate anastomosis was performed on the external iliac artery. Results: The surgical operations were successfully completed. For the robotic allogeneic kidney transplantation, operation time was 148 min, the warm ischemia was 1 min 12 s, and the serum creatinine level was 126.6 μmol/L at 7th day and 123.9 μmol/L at 1st year postoperatively. The patient was followed up for 1 year without postoperative complications. For the robotic kidney autotransplantation, operation time was 8 h 30 min, the warm ischemia was 2 min 40 s, the postoperative serum creatinine was increased in the short time, and the serum creatinine was 121.2 μmol/L at 6th month postoperatively. The patient was followed up for 6 months without postoperative complications. Conclusions: The robotic-assisted kidney transplantation in graft with multiple vessels is feasible and further optimization is needed.

Key words： robotic-assisted kidney transplantation graft with multiple vessels

收稿日期: 2020-05-15

通讯作者: 张旭,xzhang@foxmail.com;董隽,jundong@vip.126.com

引用本文:

赵鉴明, 陈欣, 范阳, 史立新, 祖强, 黄双, 张磊, 王云鹏, 祝强, 周启玮, 张旭, 董隽. 机器人辅助腹腔镜多支动脉肾移植术[J]. 微创泌尿外科杂志, 2021, 10(1): 8-11.
ZHAO Jianming, CHEN Xin, FAN Yang, SHI Lixin, ZU Qiang, HUANG Shuang, ZHANG Lei, WANG Yunpeng, ZHU Qiang, ZHOU Qiwei, ZHANG Xu, DONG Jun. Robotic-assisted kidney transplantation in graft with multiple vessels. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(1): 8-11.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1645.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I1/8

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