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目的 :探讨腹膜后间隙腹腔镜下肾囊肿去顶的应用价值。方法 :自 1997年以来采用经腹膜后间隙腹腔镜下行肾囊肿去顶 30例 ,男 2 2例 ,女 8例。年龄 36～ 75岁 ,平均 5 6岁。囊肿直径 4～ 8cm ,平均 5 .5cm。左肾2 4例 ,右肾 6例。肾上极 12例 ,肾下极 10例 ,中部 8例。结果 :手术时间 30～ 12 0min ,平均 6 0min。术后 3个月～ 1年随访 ,肾囊肿消失 ,无复发。结论 :经腹膜后间隙腹腔镜下肾囊肿去顶对病人创伤小 ,恢复快 ,住院天数少。适应于有症状的单纯性肾囊肿 ,比传统的方法更简单而有效 ,值得推广应用
Objective: To investigate the value of retroperitoneal laparoscopic renal cyst removal to the top. Methods: Since 1997, retroperitoneal laparoscopic descending renal cysts to the top of 30 cases, 22 males and 8 females. Age 36 to 75 years, mean 56 years. Cyst diameter 4 ~ 8cm, an average of 5.5cm. 24 cases of left kidney, 6 cases of right kidney. 12 cases of upper kidney, 10 cases of lower kidney, 8 cases of middle. Results: The operation time was 30 ~ 120 min with an average of 60 min. After 3 months to 1 year follow-up, renal cysts disappeared, no recurrence. Conclusion: Laparoscopic retroperitoneal laparoscopic renal cysts to the top of the trauma to the patient, fast recovery, hospitalization days less. Adapted to the symptoms of simple renal cysts, more simple and effective than the traditional method, it is worth promoting the application