摘要
目的总结腹膜后腹腔镜去顶术治疗肾囊肿的临床体会并探讨其应用价值。方法对30例行腹膜后腹腔镜肾囊肿去顶术治疗的肾囊肿患者的临床资料进行回顾性分析。结果 30例患者均顺利完成腹膜后腹腔镜肾囊肿去顶术,无一例中转开放手术。手术时间20～60 min,平均30 min。术后住院3～7 d,切口一期愈合,随访3～24个月,无复发及并发症发生。结论腹膜后腹腔镜肾囊肿去顶术安全有效,其有出血少,创伤小,恢复快,不复发,对腹腔脏器无干扰,住院时间短等优点,是肾囊肿的较佳手术方法。
Objective To summarize the experience with retroperitoneal laparoscopic unroofing of renal cysts, and to discuss its practical value.Methods Clinical data of 30 patients who underwent retroperitoneal laparoscopic unroofing of renal cysts were retrospectively analyzed. Results Retroperi- toneal laparoscopic unroofing of renal cysts was successfully completed in all patients and none of them was converted to open surgery. Mean operative time was 30 minutes（range 20-60 minutes）and postop- erative hospital stay was 3-7 days. Surgical incisions healed by primary intention with no relapses and complications during 3-24 months of follow-up. Conclusion Retroperitoneal ]aparoseopic unroofing of renal cysts is a safe and effective procedure with the advantages of less bleeding, minor trauma, faster recovery, no relapses, no interference with abdominal organs and shorter hospital stay. Therefore, the procedure is better surgical approach for renal cysts.
出处
《实用临床医学（江西）》
CAS
2012年第9期37-38,共2页
Practical Clinical Medicine
关键词
肾囊肿
去顶术
腹膜后径路
腹腔镜
renal cyst
unroofing
retroperitoneal approach
laparoscopy
