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目的探讨后腹腔镜肾囊肿去顶术的方法和疗效。方法采用后腹腔镜肾囊肿去顶术治疗肾囊肿24例。结果24例后腹腔镜肾囊肿去顶术均获成功,手术时间35～120 min,平均65 min,出血量30～80 ml,平均50 ml。无中转手术。术后肠道功能恢复时间(24±12)h,术后住院天数(7±2)d。病理报告均为肾囊肿。随访3～24个月未见复发。结论后腹腔镜肾囊肿去顶术疗效确切、安全、微创、术后恢复快,应成为肾囊肿治疗的首选术式。
Objective To investigate the method and effect of retroperitoneal laparoscopic renal cyst debridement. Methods Retroperitoneal laparoscopic renal cyst debridement in the treatment of renal cysts in 24 cases. Results All of the 24 cases underwent retroperitoneal laparoscopic renal cyst debridement successfully. The operation time ranged from 35 to 120 minutes with an average of 65 minutes and the bleeding amount was 30 to 80 ml (mean, 50 ml). No transit surgery. Postoperative intestinal function recovery time (24 ± 12) h, postoperative hospital stay (7 ± 2) d. Pathological reports are renal cysts. Follow-up 3 to 24 months no recurrence. Conclusions Retroperitoneal laparoscopic renal cyst detoxification is effective, safe, minimally invasive and rapid after operation. It should be the first choice for the treatment of renal cyst.