机器人辅助腹腔镜下儿童肾脏异物取出1例报告
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上海市科学技术委员会"科技创新行动计划"医学和农业领域项目(14411950403).


Robot-assisted laparoscopic surgery in removing renal foreign body in a child
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Supported by Medicine and Agriculture Projects of "Technology and Innovation Action Plan" of Science and Technology Commission of Shanghai Municipality (14411950403).

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    摘要:

    目的 报道1例机器人辅助腹腔镜下儿童肾脏异物取出病例的手术过程,为儿童内脏异物取出提供参考。方法和结果 1例2岁女性患儿因"X线平片检查发现右肾异物1个月"入院。曾误诊为消化道异物,保守观察3周余未排出,就诊于我院后进一步完善检查,腹部CT提示右肾异物。应患儿家长要求行机器人辅助腹腔镜探查,术中探查见异物位于右肾下极,完整取出一针形金属异物。术中出血及损伤小,定位准确。术后随访44个月无异常。结论 机器人辅助腹腔镜技术可应用于儿童肾脏异物取出,为儿童内脏异物的取出提供了一种新的手段。

    Abstract:

    Objective To report the surgical procedure of removing renal foreign body by robot-assisted laparoscopic surgery in a child, so as to provide reference for future incidence. Methods and Results A 2-year-old girl was admitted to the hospital for a foreign body in right kidney, which had been found by abdomen X-ray for 1 month. She had been misdiagnosed as having a gastrointestinal tract foreign body, and it was not discharged after conservative observation for more than 3 weeks. Further examination was performed in our hospital, and abdominal computed tomography showed a foreign body in the right kidney. Robot-assisted laparoscopic surgery was conducted at the request of her parents. A foreign body was found in the inferior pole of the right kidney, and was intactly removed. The foreign body was a metal needle. The intra-operative blood loss was less and injury was small, with accurate location. No abnormal findings were noted during a follow-up of 44 months. Conclusion Robot-assisted laparoscopy can be used for pediatric renal foreign body removal, which provides a new method for removing visceral foreign bodies in children.

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  • 收稿日期:2019-08-07
  • 最后修改日期:2020-02-16
  • 录用日期:2020-03-21
  • 在线发布日期: 2020-08-14
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