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目的：探讨机器人辅助腹腔镜联合直线切割闭合器治疗有症状马蹄肾的安全性和有效性。方法：回顾性分析安徽医科大学第一附属医院2015年6月至2024年6月收治的18例有症状马蹄肾患者的临床资料，所有患者均行经腹腔入路机器人辅助腹腔镜手术，同时术中联合直线切割闭合器离断马蹄肾峡部，总结分析患者手术时间、术后住院时间、术前术后血色素等临床资料，并进行文献复习。结果：所有患者均顺利完成手术，无术中或术后严重并发症，无重要器官及大血管损伤，平均手术时间253.8 min，平均术后血红蛋白减少13.8 g/L，平均术后通气时间2.3 d，术后平均住院时间7.6 d，术后随访效果良好。结论：机器人辅助腹腔镜联合直线切割闭合器对治疗有症状马蹄肾安全有效，并发症少，恢复快。
Abstract：Methods: A retrospective analysis was performed on the clinical data of 18 patients with symptomatic horseshoe kidney admitted to the First Affiliated Hospital of Anhui Medical University from June 2015 to June 2024. All patients underwent transperitoneal robot-assisted laparoscopic surgery, and the isthmus of the horseshoe kidney was transected using a linear cutting stapler during the operation. Clinical data including operation time, postoperative hospital stay, and hemoglobin levels before and after surgery were summarized and analyzed, and a literature review was conducted. Results: All operations were successfully completed without severe intraoperative or postoperative complications, or injuries to important organs or large blood vessels. The average operation time was 253.8 minutes, the average postoperative hemoglobin reduction was 13.8 g/L, the average postoperative ventilation time was 2.3 days, and the average postoperative hospital stay was 7.6 days. Postoperative follow-up showed favorable outcomes. Conclusion: Robot-assisted laparoscopy combined with a linear cutting stapler is safe and effective for the treatment of symptomatic horseshoe kidney, with fewer complications and faster recovery. Objective: To explore the safety and efficacy of robot-assisted laparoscopy combined with a linear cutting stapler in the treatment of symptomatic horseshoe kidney.
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基本信息:
DOI：10.19558/j.cnki.10-1020/r.2025.04.002
中图分类号:R699.2
引用信息:
[1]刘祎,梁朝朝,施浩强,等.机器人辅助腹腔镜联合直线切割闭合器治疗有症状马蹄肾的初步体会[J].微创泌尿外科杂志,2025,14(04):221-226.DOI:10.19558/j.cnki.10-1020/r.2025.04.002.