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在Xanthogranulomatous Pyelonephritis的 laparoscopic切除术中转换为开放手术的危险因素:一个多中心研究

José Iván Robles-Torres¹, José Antonio Zapata-González¹, Marcos Andrés Sánchez-Rendón¹

¹Hospital Universitario "Dr. José Eleuterio González," Monterrey, Nuevo León, México.

Journal of endourology

|March 10, 2025

概括

桑托格兰瘤性炎 (XGP) 的手术是具有挑战性的. 脏和马勒克III期预测XGP的腹腔镜切除术期间转换为开放性手术.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
病理学病理学病理学

背景情况:

桑托格兰瘤性炎 (XGP) 是一种罕见的,严重的脏感染.
由于炎症和纤维化,XGP的手术管理是复杂的.
为XGP进行 laparoscopic nephrectomy,其转化为开放手术的率很高.

研究的目的:

为了确定XGP.在腹腔镜切除术中开放转换的风险因素.
为了评估XGP患者腹腔镜切除术的术后结果.

主要方法:

针对XGP进行腹腔镜切除术的49名患者 (2018-2022) 的多中心回顾性研究.
临床,实验室和放射学 (马勒克分类) 参数的分析.
主要结局:转换为开放性手术;次要结局:主要并发症 (Clavien-Dindo ≥3) 和器官损伤.

主要成果:

20.4%的患者需要转换为开放性手术.
脏 (OR: 3.174) 和马莱克III期 (OR: 14) 是转换的独立预测因素.
严重并发症发生在26.5%的患者中,结肠和肺损伤是最常见的.

结论:

对于XGP来说,腹腔镜切除术是可行的,但在技术上要求很高.
脏和晚期疾病阶段 (Malek III) 预测转换为开放性手术.
laparoscopic 方法在复苏和发病率方面提供了潜在的好处,尽管存在挑战.

关键词:

laparoscopy 腹腔镜检查腹腔镜检查腹腔镜检查腎臟切除術 (nephrectomy) 是一種腎臟切除術.开放的转换是开放的桑托格拉努洛马托斯型皮埃隆尼弗里斯

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