| 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。 |
| 关键词: 机器人手术 腹腔镜技术 儿童 肾脏异物 |
| DOI：10.16781/j.0258-879x.2020.07.0761 |
| 投稿时间：2019-08-07修订日期：2020-02-16 |
| 基金项目: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）. |
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| Robot-assisted laparoscopic surgery in removing renal foreign body in a child |
| ZHOU Li-jun,XIE Hua*,CHEN Fang,HUANG Yi-chen,LÜ Yi-qing,CHEN Yan |
(Department of Urology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200053, China
*Corresponding author) |
| 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. |
| Key words: robotic surgical procedures laparoscopy children renal foreign body |
