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目的观察后腹腔镜逆行切除术在肾上极大占位疾病治疗中的应用效果。方法台州恩泽医疗中心(集团)恩泽医院采用后腹腔镜逆行切除术治疗肾上极大占位疾病35例,最大径8~16.7cm,平均12.4cm。其中肾上极错构瘤切除术11例(31.4%),肾上极囊肿去顶术19例(54.3%),重复肾畸形行上半肾切除术5例(14.3%)。结果 35例均成功手术。手术时间30~237分钟;术中出血27~113ml,肾上极错构瘤切除术患者手术时间(159.0±31.5)分钟,出血量(92.7±37.6)ml;肾上极囊肿去顶术患者手术时间(58.1±21.4)分钟,出血量(36.7±9.0)ml;上半肾切除术患者手术时间(138.0±37.6)分钟,出血量(62.6±31.5)ml。无腹膜及其他器官损伤。术后住院时间3~10天,平均6.3天,无严重并发症发生。结论后腹腔镜逆行切除术用于肾上极大占位疾病效果满意。
Objective To observe the effect of retroperitoneal laparoscopic retrograde resection in the treatment of great occupying diseases in the kidney. Methods Tailor Enze Medical Center (Group) Enze Hospital retrograde laparoscopic retrograde resection in the treatment of 35 cases of great occupying diseases on the kidney, the maximum diameter of 8 ~ 16.7cm, an average of 12.4cm. There were 11 cases (31.4%) of suprarenal pole myogenic tumor resection, 19 cases (54.3%) of suprapubic cyst debridement and 5 cases (14.3%) of upper nephrectomy with repeated renal malformation. Results 35 cases were successful operation. The operation time was 30 to 237 minutes; the intraoperative bleeding was 27 to 113ml; the operation time was (159.0 ± 31.5) minutes and the amount of bleeding was (92.7 ± 37.6) ml; (58.1 ± 21.4) minutes, the amount of bleeding was (36.7 ± 9.0) ml. The operation time was 138.0 ± 37.6 minutes and the amount of bleeding was (62.6 ± 31.5) ml. No peritoneal and other organ damage. Postoperative hospital stay 3 to 10 days, an average of 6.3 days, no serious complications. Conclusions Retroperitoneal laparoscopic retrograde resection is a satisfactory method for the treatment of maximal occupying diseases in the kidney.