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目的:探讨经腹膜后腹腔镜手术治疗肾囊肿的方法和疗效。方法:回顾性分析我院31例后腹腔镜下肾囊肿去顶术治疗的患者病历资料,对手术方式、手术时间、术中出血量及住院时间进行分析总结。结果:手术均顺利完成,手术时间24～82min,平均50min;术中出血量15～80ml,平均45ml;术后住院3～6d,平均住院5d。31例术后病理报告均为单纯性囊肿。随访3～24个月,平均18个月,复查B超或CT无复发病例。结论:腹膜后腹腔镜肾囊肿去顶术具有创伤小、并发症少、术后恢复快等优点,是安全、有效的手术方法。
Objective: To investigate the method and effect of retroperitoneal laparoscopic surgery for renal cysts. Methods: A retrospective analysis of 31 cases of retroperitoneal laparoscopic renal cyst debridement in patients with medical records, surgical methods, operation time, intraoperative blood loss and hospital stay were analyzed and summarized. Results: The operation was successfully completed. The operation time was 24-82 minutes with an average of 50 minutes. The intraoperative blood loss was 15-80ml with an average of 45ml. The postoperative hospital stay was 3 ~ 6 days and the average hospitalization was 5 days. 31 cases of postoperative pathological reports were simple cysts. All the patients were followed up for 3-24 months, with an average of 18 months. The cases without recurrence of B-ultrasound or CT were reviewed. Conclusions: Retroperitoneal laparoscopic renal cyst debridement has the advantages of less trauma, less complications and quick recovery after operation, which is a safe and effective surgical method.