Zhu RK,Zhang H,Jing XY,et al.Application of computeraided surgical system for repeated renal surgery in children.[J].Journal of Clinical Pediatric Surgery,,18():118-123.
Application of computeraided surgical system for repeated renal surgery in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 02
Page:
118-123
Column:
论著
Date of publication:
2019-02-25
- Keywords:
- Repeated Kidney; Computerassisted; Threedimensional; Surgical Procedures; Operative; Therapy
- Document code:
- A
- Abstract:
- ObjectiveTo explore the value and clinical significance of Hisense computeraided surgical system (Hisense CAS) for repeated renal biopsy in children.MethodsRetrospective analysis was conducted for 35 hospitalized children with repeated kidney from January 2013 to June 2017.All children underwent threedimensional preoperative reconstruction of CAS.Efforts were made for accurately determining the location and size of repeated kidney,renal vascular system,peripheral branches and adjacent structures,ureteral course and stenosis,etc.Surgical feasibility,detailed procedures,operative duration,volume of intraoperative blood loss and blood transfusion rate were analyzed.ResultsCAS threedimensional reconstruction revealed distinctly the location and size of repeated kidney and its adjacent anatomic structures.The sideness of repeated kidney was left (n=19),right (n=13) and bilateral (n=3).Repeated renal pelvic dilation was accompanied by hydronephrosis (n=35).Among 9 cases of upper ureteral terminal cyst,there were lower bilateral ureteral Y anastomosis plus upper ureteral terminal cyst (n=1),Ytype ureteral plus lower pelvicureteral junction stenosis (n=1) and upper & lower renal dysplasia (n=1).Unilateral nephrectomy (n=1),glenoid angioplasty (n=1),pediatric ureteroscopy (n=32),ureteralbladder anastomosis (n=1) and secondary surgical cyst resection (n=2) were performed.The average operative duration was 122.8 min and the average volume of intraoperative blood loss 12.91 ml.Two cases required a postoperative infusion of 1U red blood cells.The average postoperative hospitalization stay was 9 days predischarge.ConclusionThreedimensional visualization provides preoperative assessments to allow for individualized surgical planning.Surgical controllability,accuracy and safety may be improved in infants and toddlers undergoing precise repeated renal surgery.
Last Update:
2019-02-26