China News Service, Wuhan, June 16th (Tian Juan Deng Xinyue) "Now Xiaojin (pseudonym) no longer has a stomachache, can eat and sleep, urine output and urine color are normal." On the 16th, he received a follow-up call from the doctor At that time, Xiao Jin's mother said. Previously, 5-year-old Xiao Jin had undergone a huge repetitive nephrectomy on the left side of the posterior abdominal cavity due to "overlapping kidneys".
Xiaojin is from Pu'er, Yunnan. The cystic lesions of the left kidney were found during the obstetric examination, that is, "overlapping kidneys". However, it was already in the third trimester at that time. In addition, the doctor stated that the latter period would be reviewed regularly, and if necessary, it could be surgically removed, and the family did not give up. After Xiaojin was born, after three years of review, he found no obvious signs of aggravation, so he ignored the review.
On May 13 this year, Xiao Jin suddenly had a stomachache. The local doctor said that Xiao Jin's left upper kidney group had dysplasia, and hydronephrosis had appeared, and the water gradually increased, forming a huge cystic lesion. The two "kidneys" are stuck together, and cutting them all off may affect the rest of the normal kidneys. It is recommended to transfer to a higher level hospital for endoscopic minimally invasive surgery, and partially preserve the left kidney function.
Parents brought Xiaojin to Wuhan Tongji Hospital. On June 3, Li Ning, the deputy director of pediatric surgery at the hospital, successfully performed a huge repetitive nephrectomy on the left side of the posterior abdominal cavity for Xiao Jin. The operation establishes the operation space behind the peritoneum and does not pass through the abdominal cavity, minimizing the impact on the abdominal organs. Through the three small holes in the waist, a minimally invasive laparoscopic operation is performed to accurately remove the huge repeated kidney, and the normal lower group of kidneys is completely retained.
Li Ning introduced that normal people generally have only two kidneys, and the extra one is called repeated kidney malformation in medicine, and often combined with repeated ureteral malformation. The repeat kidney does not have one more kidney, but the normal kidney is divided into two and grows into two upper and lower small kidneys. If these two small kidneys are normal, they can be left untreated. However, in most cases, one of the small kidneys will have problems such as water accumulation and infection. If it is not removed, it will affect the other small kidney.
Li Ning said that because the two small kidneys grow close together, it is necessary to completely remove the diseased kidney and fully retain the remaining kidney, which requires relatively high surgery. Traditional open surgery is more difficult to operate. Minimally invasive laparoscopic surgery has less trauma, faster recovery and less postoperative scars.
Li Ning reminded that if the prenatal examination or found repeated kidney or hydronephrosis, be sure to regularly review B-ultrasound after birth. If the child has back pain, hematuria, and abdominal symptoms, he should also pay attention to B-ultrasound examination and seek medical attention in a timely manner. (Finish)