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后腹腔镜多囊肾去顶术---病后腹腔镜多囊肾去顶术---病 报告
王百孚1 ,恒杰, 陈俊吉, 黄胜贤, 戴慧 , 介山, 黄国轩, 张进宝
彰化基督教医院 外科部 科
长荣大学 1医学研究所
RETROPERITONEOSCOPIC UNROOFING OF POLYCYSTIC KIDNEY
DISEASE---CASE REPORT
Pai-Fu Wang1, Herng-Jye Jiang, Chun-Chi Chen, Sheng-Hsien Huang, Hui-Lung Tai,
Jesun Lin, Kuo-Hsuan Huang and Chin-Pao Chang.
Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Institute of Research Sciences, 1Chang Jung Christian University
Purpose: To report a case with polycystic kidney disease underwent retroperitoneoscopic unroofing for
the treatment of pain and hypertension.
Materials and Methods: This 39-year-old female has suffered from bilateral flank pain and hypertension
for about 2 years. She has the family history of polycystic kidney disease. The preoperative evaluation
showed elevated plasma renin activity as 16.8 ng/ml/hr. (normal range between 1.31 to 3.95) The ERPF
showed 285.83 and 113.20 ml/min of right and left sides respectively. We applied a 30-French double
right-angled nephroscope, with a 6 mm working channel, through a 12 mm trocar over bilateral
mid-axillary lines and another 5 mm trocar. Unroofing of the renal cyst was performed by
electrocauterization or ultrasonic coagulator as adequately as possible.
Results: Totally, 90 and 65 cysts of right and left kidney were taken care. Operation time took 5 hours
and 20 minutes. Oral intake started on the next day. Post-operative hospital stay was 3 days. The flank
pain was improved subjectively. Antihypertensives could be reduced within one year postoperatively as
well as the plasma renin activity decreased in 1 and 3 months (14.4 and 6.9 ng/ml/hr) respectively, but
elevated again in 12 months (18.1). The ERPF showed 228.66 and 109.5 ml/min of right and left sides
respectively 5 months later. The convalescence was uneventful without complication during the
18-month-followup.
Conclusions: Retroperitoneoscopic unroofing of polycystic kidney disease showed benefits in improving
flank pain but could be helpful for hypertension only within one year in this case. No improvement in
ERPF could be identified. However, more experience should be gained to determine if it has the role of
prolonging the nature course of the disease.
395515
·上一篇：成人型多囊肾延误诊断原因分析
·下一篇：多囊肝并巨大多囊肾%例报告
王百孚1 ,恒杰, 陈俊吉, 黄胜贤, 戴慧 , 介山, 黄国轩, 张进宝
彰化基督教医院 外科部 科
长荣大学 1医学研究所
RETROPERITONEOSCOPIC UNROOFING OF POLYCYSTIC KIDNEY
DISEASE---CASE REPORT
Pai-Fu Wang1, Herng-Jye Jiang, Chun-Chi Chen, Sheng-Hsien Huang, Hui-Lung Tai,
Jesun Lin, Kuo-Hsuan Huang and Chin-Pao Chang.
Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Institute of Research Sciences, 1Chang Jung Christian University
Purpose: To report a case with polycystic kidney disease underwent retroperitoneoscopic unroofing for
the treatment of pain and hypertension.
Materials and Methods: This 39-year-old female has suffered from bilateral flank pain and hypertension
for about 2 years. She has the family history of polycystic kidney disease. The preoperative evaluation
showed elevated plasma renin activity as 16.8 ng/ml/hr. (normal range between 1.31 to 3.95) The ERPF
showed 285.83 and 113.20 ml/min of right and left sides respectively. We applied a 30-French double
right-angled nephroscope, with a 6 mm working channel, through a 12 mm trocar over bilateral
mid-axillary lines and another 5 mm trocar. Unroofing of the renal cyst was performed by
electrocauterization or ultrasonic coagulator as adequately as possible.
Results: Totally, 90 and 65 cysts of right and left kidney were taken care. Operation time took 5 hours
and 20 minutes. Oral intake started on the next day. Post-operative hospital stay was 3 days. The flank
pain was improved subjectively. Antihypertensives could be reduced within one year postoperatively as
well as the plasma renin activity decreased in 1 and 3 months (14.4 and 6.9 ng/ml/hr) respectively, but
elevated again in 12 months (18.1). The ERPF showed 228.66 and 109.5 ml/min of right and left sides
respectively 5 months later. The convalescence was uneventful without complication during the
18-month-followup.
Conclusions: Retroperitoneoscopic unroofing of polycystic kidney disease showed benefits in improving
flank pain but could be helpful for hypertension only within one year in this case. No improvement in
ERPF could be identified. However, more experience should be gained to determine if it has the role of
prolonging the nature course of the disease.
395515
·上一篇：成人型多囊肾延误诊断原因分析
·下一篇：多囊肝并巨大多囊肾%例报告
