摘要
目的探讨经后腹腔镜治疗肾盂旁囊肿的微创方法。方法总结经后腹腔镜下切除或去顶治疗肾盂旁囊肿12例资料。男7例,女5例。年龄34~75岁,平均52岁。左侧6例,右侧6例,囊肿大小2.8 cm×3.0 cm^2.5 cm×11.5 cm。结果12例患者手术均成功,前6例手术时间平均190 m in,后6例平均86 m in,术中出血平均25 m l,未出现肾蒂及肾盂损伤等并发症,平均住院9 d。11例随访7~31个月无复发,1例合并肾囊肿者术后2年B超检查囊肿复发。结论经腹膜后途径腹腔镜治疗肾盂旁囊肿具有创伤小,术中出血少,患者恢复快等优点,是肾盂旁囊肿的理想治疗方法。
Objective To evaluate the minimally invasive technique of laparoscopy by retroperitoneal access for the treatment of parapelvic cyst. Methods Twelve patients （7 men and 5 women;mean age, 52 years;age range,34 -75 years） with parapelvic cysts were included. The cyst size ranged from 2.8 cm × 3.0 cm to 2.5 cm × 11.5 cm. The cysts were on the left side in 6 cases and on the right in another 6 cases. Laparoscopic resection or de-roofing of the parapelvic cysts by retroperitoneal access was performed in them. The relevant parameters of the procedures were summarized. Results The success rate of the operation was 100%. The mean operative time of the first 6 patients was 190 min, while it was 86 min in the rest 6 patients. The mean intraoperative blood loss was 25 ml. No injury to the kidney pedicle or pelvis occurred. The mean hospital stay was 9 d. In 11 patients, no recurrence of the cyst occurred during a follow-up of 7 - 31 months. Only 1 patient with concomitant renal cyst had recurrence of the cyst found by B-ultrasound 2 years after operation. Conclusions Therapeutic laparoscopy by retroperitoneal access has advantages of minimal trauma,less blood loss,rapid recovery and better effect, therefore it is the ideal treatment choice for parapelvic cyst.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2005年第12期832-834,共3页
Chinese Journal of Urology
关键词
肾盂旁囊肿
腹膜后腔
腹腔镜
Parapelvic cyst
Retroperitoneal space
Laparoscopy
