キノシタ ヒデフミ   KINOSHITA H.
  木下 秀文
   所属   関西医科大学  腎泌尿器外科学講座
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Laparoscopic upper-pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report
掲載誌名 正式名:International Journal of Urology
略  称:Int J Urol.
ISSNコード:09198172
巻・号・頁 22(11),pp.1075-1077
著者・共著者 Yoshida K, Kinoshita H, Hayami Y, Nakamoto T, Takayasu K, Sugi M, Matsuda T
担当区分 2nd著者
発行年月 2015/11
概要 A 22-year-old woman was diagnosed with a duplicated renal collecting system with hydronephrosis and parenchymal loss in the upper pole of the left kidney. She underwent laparoscopic left upper-pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperative three-dimensional computed tomographic reconstruction using a three-dimensional image analysis device (Synapse Vincent; Fuji Medical Systems, Tokyo, Japan) greatly helped to accurately identify the anatomical renal hilum. For further detail, virtual partial nephrectomy analysis using a Voronoi decomposition was used to visualize the area supplied by a selected arterial branch including the atrophic cleavage line. We controlled the bleeding with selective clamping and safely carried out upper-pole heminephrectomy according to the preoperative plan.
DOI 10.1111/iju.12897
文献番号 26300298
PMID 26300298