南京医科大学第二附属医院泌尿外科于 2023 年 5 月收治 1 例“左侧供肾”患者，完成了首例机器人 辅助经腹膜后入路单孔腹腔镜下活体供肾切取术，该术式国内外尚无相关报道。手术顺利完成，未增加额外切口， 术前机器人定位时间 8 min，手术时间 83 min，术中出血 20 ml，热缺血时间 3 min，冷缺血时间 131 min。供肾动脉长 3.5 cm，静脉长 5.1 cm，输尿管长 15 cm。皮肤切口长度为 6 cm。供者术后复查肾功能正常，无任何围手术期并发症， 术后 3 d 出院。肾移植术中再通血流后，移植肾色泽良好，张力正常，30 s 后即有尿液流出，受者术后 2 d 血肌酐降 至正常，未出现移植肾功能延迟恢复。结果表明，机器人辅助经腹膜后入路单孔腹腔镜下活体供肾切取术具有安全、 可靠、创伤小、恢复快、体表切口美观等优势，具有良好的临床应用前景。

A case of left living kidney donor was admitted to the Department of Urology of the Second Affiliated Hospital of Nanjing Medical University in May 2023. The first case of robot-assisted laparoendoscopic single-site retroperitoneal living donor nephrectomy was performed in our hospital, which has not been reported at home and abroad. The procedure was carried out effectively without extra incision. The surgery was completed successfully with the estimated blood loss of 20 ml, total operative time of 83 min, warm ischemia of 3 min and cold ischemia of 131 min. Preoperative robotic positioning took 8 min. The ureter was 15 cm long, with the renal artery of 3.5 cm and vein of 5.1 cm. The skin incision was 6 cm in length. The donor had normal renal function on postoperative review without perioperative complications, with the length of hospital stay of 3 d. During kidney transplant, the graft was well perfused and normotonic after refilling of blood, and urine began to flow after 30 s. 2 days after the surgery, the recipient’s serum creatinine returned to normal level without delayed graft function. The results showed that robot-assisted laparoendoscopic single-site retroperitoneal living donor nephrectomy is superior in surgical safety, dependability, minimal trauma, quick recovery, and aesthetic incision, which has good clinical prospects.

收稿日期：2023-11-02  录用日期：2023-12-26 

Received Date: 2023-11-02  Accepted Date: 2023-12-26 

基金项目：国家自然科学基金面上项目（82170769）；江苏省卫生健康委科研项目（ZD2021028） 

Foundation Item: National Natural Science Foundation of China (82170769), Scientific Research Project of Jiangsu Provincial Health Commission (ZD2021028) 

通讯作者：顾民，Email：lancetgu@aliyun.com；朱清毅，Email：drzhuqingy@126.com 

Corresponding Author: GU Min, Email: lancetgu@aliyun.com; ZHU Qingyi, Email: drzhuqingy@126.com 

引用格式：沈百欣，倪斌，张俊麒，等 . 机器人辅助经腹膜后入路单孔腹腔镜下活体供肾切取术：全球首例报道（附视频）[J]. 机 器人外科学杂志（中英文），2024，5（2）：233-237. 

Citation: SHEN B X, NI B, ZHANG J Q, et al. Robot-assisted laparoendoscopic single-site retroperitoneal living donor nephrectomy: the first case report (with video) [J]. Chinese Journal of Robotic Surgery, 2024, 5(2): 233-237. 注：沈百欣，倪斌为共同第一作者 Co-first Author: SHEN Baixin, NI Bin

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