腹腔镜肾脏去神经治疗难治性腰痛：我们能预测结果吗？

Laparoscopic Kidney Denervation for Refractory Loin Pain: Can We Predict Outcomes?

A 19-year-old female patient presented refractory disabling loin pain associated with mild kidney atrophy (split renal function of 33%). Investigation revealed elevated serum renin level; a therapeutic test with oral renin inhibitor was tried, obtaining important pain control. Aiming to resolve the symptom while preserving the patient kidney and attributing the pain mechanism to be associated with the abnormal renin production, a laparoscopic kidney denervation was performed with no complications and complete pain resolution.

keywords: Renal denervation, Laparoscopic, Chronic loin pain, Renin inhibitor
Abbreviations: VUR, vesico-ureteral reflux; UTI, urinary tract infection; CT, computed tomography; ADPKD, autosomal dominant polycystic kidney disease

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腹腔镜肾脏去神经治疗难治性腰痛：我们能预测结果吗？

Figure 1. Pre-operative TC revealing the right kidney with diminished parenchyma.

腹腔镜肾脏去神经治疗难治性腰痛：我们能预测结果吗？

Figure 2. Surgery image of renal denervation. K: Kidney; RV: Renal vein; White arrow: Peri-hilar nerve being cauterized.

腹腔镜肾脏去神经治疗难治性腰痛：我们能预测结果吗？

Figure 3. Final aspect of right renal denervation after hilar skeletonizing. K: Kidney; L: Liver; A: Renal artery; V: Renal vein.