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目的 探讨后腹腔镜治疗肾脏囊性疾病的可行性。方法 对 2 8例 32侧 4 6个单纯性肾囊肿、2例肾盂旁囊肿及 1例双侧多囊肾经腰部腹膜后入路行腹腔镜肾囊肿去顶术。结果 30例手术成功 ,1例术中探查为肾皮质脓肿转为开放性手术。平均手术时间 5 2min ,平均住院 4 4d。术后 1例复发。结论 后腹腔镜肾囊肿去顶术治疗单纯性肾囊肿简单易行 ,安全、有效、损伤小、美观。术后住院时间短 ,康复快。可治疗肾盂旁囊肿 ,但对手术技术要求高。可对性质不明的囊肿进行探查。对多囊肾的疗效需进一步观察。手术成功的关键是良好的暴露
Objective To investigate the feasibility of retroperitoneoscopic treatment of renal cystic disease. Methods Laparoscopic renal cyst debridement was performed on 28 cases of simple renal cysts of 32 sides, 2 cases of renal plexus cyst and 2 cases of bilateral polycystic kidney by retroperitoneal approach. Results 30 cases of successful surgery, 1 case of intraoperative exploration for renal cortical abscess turned to open surgery. The average operation time 5 2min, the average hospitalization 4 4d. One patient recurred after operation. Conclusions Retroperitoneal laparoscopic renal cyst debridement is a simple, safe and effective method for the treatment of simple renal cysts. Short postoperative hospital stay, fast recovery. Can treat paravertebral cysts, but the technical requirements of surgery. Undetected cysts can be explored. The efficacy of polycystic kidney disease needs further observation. The key to successful surgery is good exposure