摘要
目的探讨后腹腔镜肾囊肿去顶术治疗单纯性肾囊肿的手术方法 ,提高治疗效果。方法应用自行设计的囊内法对103例(115侧)单纯性肾囊肿病例行后腹腔镜下肾囊肿去顶术,囊肿直径4.6～16.7cm,多发囊肿38例。结果 103例(115侧)手术均成功完成。手术时间20～55min,平均(35.4±9.3)min;术中出血5～65mL,平均(15.3±5.9)mL;无腹膜及其他器官损伤。住院时间4～8d,平均5.6d,94例均获随访,3～28个月,平均11.5个月,症状均解除,未见复发及其他严重并发症。结论后腹腔镜下肾囊肿囊内法去顶术治疗肾囊肿安全、效果好,特别是治疗较大肾囊肿,较常规后腹腔镜手术,可明显减少术中出血、手术时间,术中意外损伤、术后并发症及复发较少。
[Objective]To investigate the technique of retroperitoneoscopic decortication of simple renal cystic disease, so as to improve the level of management of this disease. [Methods]With the improved method that we named intro-cyst decortication, a total of 103 （115 sides） were taken retroperitoneal access laparoscopy for the treatment of renal cysts. The cyst diameter is 4.6～16.7 cm. There were 38 cases of multiple cysts.[Results]The cysts in 103 patients （115 sides） were all successful. The operation time ranged from 20 to 55 min [mean, （35.4±9.3） min], blood loss ranged from 5 to 25 mL [mean, （11.3±5.9） mL], and there was no injury of peritoneum and other organs during the operative process. The hospital stay was 4 to 8 days （mean, 5.6 days）. 94 patients were available in the follow-up for 3～28 months （mean, 11.5 months）, the syndromes were all relieved, and no recurrence and other serious postoperative complications was found.[Conclusions]Retroperitoneoscopically intro-cyst decortication for renal cyst is effective and safe, especially for larger ones. Compared to routine method it may be less blood lose, less operative time, less complication and recurrence.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第5期542-544,共3页
China Journal of Endoscopy
关键词
肾囊肿
腹腔镜手术
去顶术
治疗学
renal cyst
laparoscopy
decortication
therapeutics
