后腹腔镜下左肾静脉外支架固定术治疗胡桃夹综合征1例报告

摘要

To-investigate-a-new-techni-que-of-retroperitoneal-laparoscopic-left-renal-vein-extravascular-stenti-ng-for-treatment-of-nutcracker-syndro-me-(NCS-)and-share-initial-surgical-experience-.Methods-:In-one-case-of-NCS-treated-by-retroperitoneal-anteri-or-laparoscopic-left-renal-vein-extravascular-stenti-ng-,the-operati-onal-process-and-effects-were-recorded-and-observed-.Results-:The-operati-on-was-perfor-med-successfull-y-without-surgical-co-mplica-ti-ons-.The-operati-ve-ti-me-was-80-mi-n-and-the-blood-loss-was-50-mL-.The-gross-he-maturia-was-vanished-and-nolym-phatic-fistula-occurred-.Conclusions-:The-retroperitoneal-anteri-or-laparoscopic-extravascular-stent-of-the-renal-vein-could-be-a-feasi-ble-approach-for-the-treatment-of-NCS-.It-has-a-superi-ority-of-quickly-arriving-at-kidney-pedicle-and-exposi-ng-renal-vein-easil-y-.%目的：探讨后腹腔镜前入路左肾静脉外支架固定术治疗胡桃夹综合征(NCS )的最初经验，并分享首例手术经验。方法：对1例成年男性 NCS患者采用后腹腔镜前入路左肾静脉人工血管外支架置入固定术治疗，记录其手术过程并观察疗效。结果：手术顺利完成，无重要脏器和大血管损伤。手术时间80 mi n ，术中出血量50 ml 。术后肉眼血尿消失，无淋巴瘘等并发症。结论：经后腹腔前入路左肾静脉外支架固定术治疗 NCS 具有独特的优越性，可迅速抵达肾蒂大血管并容易暴露肾静脉，使支架置入变得简单易行。