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目的:探讨肾盂旁囊肿临床分型后选择不同入路行单孔腹腔镜囊肿去顶减压术的安全性及可行性。方法:对13例肾盂旁囊肿患者在临床分型后选择不同入路行单孔腹腔镜囊肿去顶减压术进行治疗。结果:13例患者手术顺利,无中转开放手术者。手术时间35~65min,平均52min;术中出血量15~45ml,平均29ml。术后3~5天出院,平均住院4天。其中5例为肾蒂腹内侧型,8例为肾蒂背外侧型,手术时间分别为(53±5.2)min及(51±6.5)min,术中出血量分别为(28±4.6)ml及(30±5.7)ml,术后住院时间分别为(3.9±0.6)d及(4.0±0.5)d,各参数间差异均无统计学意义(P>0.05)。结论:肾盂旁囊肿分型后选择不同入路行单孔腹腔镜治疗是安全、有效、可行的。
Objective: To investigate the safety and feasibility of appendectomy with single-hole laparoscopic cyst debridement after the clinical classification of renal pelvis cyst. Methods: Thirteen cases of patients with psoas cyst were treated by single-port laparoscopic cyst debridement under different types after clinical classification. Results: Thirteen patients underwent surgery successfully with no transfer to open surgery. Surgery time 35 ~ 65min, an average of 52min; intraoperative bleeding 15 ~ 45ml, an average of 29ml. 3 to 5 days after discharge, the average hospital stay 4 days. Among them, 5 were intra-abdominal type of the vestibular rectum and 8 were of the dorso-lateral type of kidney pedicle. The operative time was (53 ± 5.2) min and (51 ± 6.5) min respectively. The intraoperative blood loss was (28 ± 4.6) ml and (30 ± 5.7) ml respectively. The postoperative hospital stay was (3.9 ± 0.6) days and (4.0 ± 0.5) days, respectively. There was no significant difference among the parameters (P> 0.05). Conclusion: It is safe, effective and feasible to choose one-hole laparoscopy for different pathways after pituitary cyst classification.