在机器人辅助皮叶造形术后,脏盆腔血瘤:两例病例报告
Saki Kobayashi1, Yutaro Sasaki1, Fumiya Kadoriku1
1Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Asian journal of endoscopic surgery
|January 7, 2026
概括
脏盆腔血瘤是机器人辅助皮叶造形术后的罕见并发症. 这项研究表明,保守的治疗,包括吸收或自发解脱,可以有效地治疗稳定的患者,保持功能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
背景情况:
- 脏盆腔血瘤是机器人辅助骨质整形术 (RAP) 后的罕见并发症.
- 关于这种特定的术后并发症的文献有限.
研究的目的:
- 在机器人辅助皮叶造形术后报告了两例盆腔血瘤.
- 讨论这种罕见并发症的保守管理和结果.
主要方法:
- 两名患者 (一名9岁的女孩和一名25岁的男子) 患有左尿管皮层结口阻塞,经历了跨腹膜安德森-海恩斯皮叶整形手术.
- 术后成像证实了这两种情况下的脏盆腔血瘤.
- 管理包括一个案例的愿望和另一个案例的保守观察.
主要成果:
- 这两位患者在血液动力学上都稳定,并得到了保守的治疗.
- 一名患者通过尿路导管吸血出血瘤和尿液;另一个患者经历了自发解脱.
- 随访成像显示,在两种情况下都保留了功能和改善了水缩.
结论:
- 在RAP之后的脏盆腔血瘤很少见,但在稳定的患者中可以保守地管理.
- 保持谨慎的手术内血静至关重要.
- 意识到这种潜在的并发症对于有利的患者结果至关重要.
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