Laparoscopic partial nephrectomy for multiple solitary kidney tumors in Qingdao University Affiliated Hospital

阅读数: 743   收藏   点赞

Recently, the team led by Wang Ke, the director of the Department of Urology at Qingdao University Affiliated Hospital, successfully performed retroperitoneal laparoscopic partial nephrectomy for multiple solitary kidney tumors in patients, in order to preserve their kidneys.

 

青岛大学附属医院泌尿外科成功完成后腹腔镜孤立肾多发肾肿瘤肾部分切除术

Aunt Zhao, 73, from Harbin, suffered from severe hypertension and type 2 diabetes. Her left kidney was removed 10 years ago due to a renal tumor. However, six months ago, two more tumors grew in her right kidney (solitary kidney), one of which had a diameter of 7 centimeters and was extremely deep and penetrating throughout the entire kidney.

 

Professor Wang Ke carefully studied the imaging data and found that the patient’s 7-centimeter tumor was located horizontally in the middle of the kidney. It was extremely difficult to completely remove and suture the wound. Considering the patient’s future quality of life, after sufficient communication with the patient and their family, he decided to accept the challenge of removing the tumor and preserving the right kidney for the patient.

 

青岛大学附属医院泌尿外科成功完成后腹腔镜孤立肾多发肾肿瘤肾部分切除术

CT and MRI images of two renal tumors in isolated kidneys

 

青岛大学附属医院泌尿外科成功完成后腹腔镜孤立肾多发肾肿瘤肾部分切除术

The diameter of the patient’s renal tumor is greater than 7 centimeters

 

In partial nephrectomy, temporary obstruction of renal blood flow is necessary, as prolonged exposure can cause irreversible damage to the kidneys and lead to renal failure. After preoperative discussions among teams such as urology, anesthesia, vascular surgery, and interventional medicine, Professor Wang Ke has developed a meticulous surgical plan.

 

Due to the presence of two tumors in the patient’s isolated kidney, which are located in a special location and have blurred boundaries, there is a high risk of surgical operation. Professor Wang Ke opened up a fine passage between the tumor and normal renal parenchyma. In less than two hours, all the tumors were removed and the kidney was successfully preserved. The renal blood flow was blocked for less than 28 minutes, and the intraoperative bleeding was only over 70 milliliters.

 

The successful treatment of patients is a powerful manifestation of the continuous pursuit of excellence and refined technology by the urology team of Tsinghua University Affiliated Hospital. The department will continuously improve its ability to treat critically ill patients and provide them with higher levels of medical services.

 

This article is reprinted from "Dingxiangyuan"

 

Surgerycast

Shanghai Headquarter

Address: Room 201, 2121 Hongmei South Road, Minhang District, Shanghai

Tel: 400-888-5088

Email: surgerycast@qtct.com.cn

 

Beijing Office

Address: room 709, No.8, Qihang international phase III, No.16, Chenguang East Road, Fangshan District, Beijing

Tel: 13331082638( Liu )

 

Guangzhou Office

Address: No. 15, Longrui street, longguicheng, Taihe Town, Baiyun District, Guangzhou

Tel: 13302302667 ( Ding )