https://scholars.lib.ntu.edu.tw/handle/123456789/575495
標題: | Retroperitoneoscopic nephropexy for symptomatic nephroptosis | 作者: | SHIH-CHIEH CHUEH Hsieh J.-T. Chen J. Young Y.-L. Chen S.-C. Tu Y.-P. |
公開日期: | 2002 | 卷: | 16 | 期: | 11 | 起(迄)頁: | 1603-1607 | 來源出版物: | Surgical Endoscopy and Other Interventional Techniques | 摘要: | Background: Open nephropexy for nephroptosis creates significant morbidity. We describe our technique for retroperitoneoscopic nephropexy and evaluate its efficacy. Methods: Twenty-five renal units in 23 patients with symptomatic nephroptosis underwent retroperitoneoscopic nephropexy by suturing the posterior renal capsules and transfixing them to the back muscles. The diagnosis and postoperative assessment were made by typical symptoms (via patient questionnaire) and findings of intravenous urography (IVU) when the position was changed from supine to erect. Results: Mean operative time was 188 min (range, 90-330). Mean narcotic use was 15.6 mg morphine. Complete resolution of symptoms occurred in 84% (21/25) renal units; 12% (three of 25) achieved partial improvement (> 75% decrease of preoperative symptoms). Follow-up IVU showed that 88% of patients had a renal descent of < 2 cm on standing; the others had a descent of 2-4 cm. All of the five renal units with hydronephrosis resolved completely after the operation. Conclusions: This modified technique of retroperitoneoscopic nephropexy is a minimally invasive, feasible, and highly successful option for treating patients with symptomatic nephroptosis. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036828428&doi=10.1007%2fs00464-001-8224-5&partnerID=40&md5=a3ec347a037b93d2c0634964d5a8f5a9 https://scholars.lib.ntu.edu.tw/handle/123456789/575495 |
ISSN: | 0930-2794 | DOI: | 10.1007/s00464-001-8224-5 | SDG/關鍵字: | morphine; adult; article; clinical article; drug use; female; follow up; human; hydronephrosis; intravenous urography; kidney disease; kidney surgery; laparoscopic surgery; minimally invasive surgery; nephroptosis; operation duration; postoperative analgesia; priority journal; retroperitoneoscopic nephropexy; retroperitoneum; surgical anatomy; surgical approach; surgical technique; treatment outcome; Adult; Aged; Back; Female; Humans; Kidney; Kidney Diseases; Laparoscopy; Middle Aged; Morphine; Muscle, Skeletal; Pain, Postoperative; Patient Satisfaction; Questionnaires; Retroperitoneal Space; Suture Techniques; Time Factors; Urography; Urologic Surgical Procedures |
顯示於: | 醫學系 |
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