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目的比较单孔与传统腹腔镜下肾囊肿去顶减压术的治疗效果。方法单纯性肾囊肿患者共计40例。其中,男性22例,女性18例;平均年龄56.5岁(28～77岁)。其中15例采用单孔腹腔镜行肾囊肿去顶减压术,25例采用传统腹腔镜肾囊肿去顶减压术。比较两组手术时间、术中出血量、平均住院时间及腹膜后引流管停留时间等数据。结果全部肾囊肿去顶术均顺利完成,无中转开放,均无明显手术并发症。单孔组无病例需中转传统腹腔镜去顶术。单孔腹腔镜组和传统腹腔镜组手术时间分别为(58.3±20.4)和(52.1±18.0)min(P>0.05);出血量分别为(18.7±7.7)和(15.6±5.2)mL(P>0.05);住院时间分别为(6.0±1.0)和(6.9±1.4)d(P<0.05)。结论单孔与传统腹腔镜治疗单纯性肾囊肿具有相同的治疗效果,是可行有效的。
Objective To compare the therapeutic effect of single-hole and conventional laparoscopic removal of renal cysts. Methods A total of 40 patients with simple renal cysts. Among them, 22 were males and 18 females, with an average age of 56.5 years (28-77 years). Among them, 15 cases were treated with single-hole laparoscopic debridement of renal cysts, and 25 cases were treated with laparoscopic renal cyst decompression. The data of operation time, intraoperative blood loss, average length of hospital stay, and residence time of retroperitoneal drainage tube were compared. Results All renal cysts to the top surgery were successfully completed, no transit open, no significant surgical complications. No case of single hole to be transferred to the traditional laparoscopic surgery. The operation time was (58.3 ± 20.4) and (52.1 ± 18.0) min in the single-hole laparoscopic group and the traditional laparoscopic group (P> 0.05). The bleeding volume was 18.7 ± 7.7 and 15.6 ± 5.2 mL respectively > 0.05). The length of hospital stay was (6.0 ± 1.0) and (6.9 ± 1.4) d, respectively (P <0.05). Conclusion Single hole and laparoscopic treatment of simple renal cysts have the same treatment effect is feasible and effective.