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目的:探讨经腹膜后腹腔镜手术治疗肾囊肿的方法与疗效。方法:86例采用全身麻醉、水囊法扩张后腹腔。显露肾囊肿,距肾实质2～3mm将囊壁切除去顶。结果:手术均顺利完成,手术时间15～60min。平均40min。术中出血量5～30ml,术后住院3—5d。随访3个月至1年,复查B超或CT无复发。结论:腹膜后腹腔镜肾囊肿去顶术具有创伤小、并发症少、术后恢复快等优点,是安全、有效的手术方法。
Objective: To explore the method and effect of retroperitoneal laparoscopic surgery for renal cysts. Methods: Totally 86 cases were treated with general anesthesia and the water sac method was used to expand the abdominal cavity. Renal cysts revealed, 2 ~ 3mm from the renal parenchyma to remove the top of the wall. Results: The operation was successfully completed, operation time 15 ~ 60min. Average 40min. Intraoperative bleeding 5 ~ 30ml, postoperative hospital 3-5d. Follow-up 3 months to 1 year, review B or CT without recurrence. Conclusions: Retroperitoneal laparoscopic renal cyst debridement has the advantages of less trauma, less complications and quick recovery after operation, which is a safe and effective surgical method.