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Author Woo Seok Oh, Bum Soo Kim, Sung Kwang Chung, Tae Gyun Kwon
Place of duty Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea
Title Laparoscopic Nephrectomy for Ectopic Dysplastic Kidney
Publicationinfo The Korean Journal of Endourology 2007 Dec 31(2) : 123~126
Key Word Ectopic, Kidney, Laparoscopy, Nephrectomy
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Abstract Purpose: To assess the efficacy and safety of laparoscopic nephrectomy for ectopic dysplastic kidney. Materials and Methods: Between August 2002 and October 2006, 6 girls with a mean age of 11.5 years (range: 6-18 years) presented with urinary incontinence accompanied by regular voiding since birth. Ultrasonography, intravenous pyelography and a 99mTc-DMSA renal scan showed the presence of only a single kidney in all cases. Computed tomography (CT) showed a dysplastic kidney definitely in five patients, structures suspicious of dysplastic kidney in 1 case. All patients underwent transperitoneal laparoscopic nephrectomy for an ectopic dysplastic kidney. Results: Laparoscopy identified all ectopic dysplastic kidneys easily, even in one case which distrophic kidney could not be identified by preoperative imaging. Dysplastic kidneys and ureters were removed successfully in all 6 patients. Mean operative time was 91 min (60-115) with minimal intraoperative bleeding. Mean postoperative hospital stay was 3.5 days (3-4). No intraoperative complication was encountered. All patients became dry soon after the operation. Conclusions: Laparoscopy can be a useful modality for the diagnosis and also safe and effective treatment for ectopic dysplastic kidney.
저 자 오우석, 김범수, 정성광, 권태균
소 속 경북대학교 의과대학 비뇨기과학교실
제 목 복강경을 이용한 이소성 이형성신의 치료
출판정보 대한 ENDOUROLOGY 학회지 2007 Dec 31(2) : 123~126

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