论文部分内容阅读
目的探讨后腹腔镜下肾囊肿去顶减压术的临床疗效。方法采用腹腔镜去顶减压术治疗肾囊肿79例患者,并记录手术时间、手术出血量、术后住院时间及手术并发症等情况;术后随访至少1年,了解复发情况。结果 79例患者中77例顺利完成手术,2例中转开放手术。手术时间35-260min,平均78.16±36.39min,术中出血量5-200ml,平均32.91±26.90ml,住院天数5-28d,平均11.27±4.47d,术后住院天数3-17d,平均6.49±2.72d。术后均恢复顺利,无术后并发症发生。术后随访15-47个月,平均28.88±9.16个月,术前有症状者术后均缓解或消失。77例腹腔镜肾囊肿去顶减压术后,无囊肿复发者75例(治愈率97.4%),2例复发(占2.6%)。结论后腹腔镜下肾囊肿去顶减压手术安全有效,创伤小,术中出血少,术后恢复快,复发少,疗效可靠,可作为单纯性肾囊肿的首选治疗方法。
Objective To investigate the clinical effect of retroperitoneoscopic renal cyst decompression. Methods 79 patients with renal cyst were treated by laparoscopic decompression and decompression. The operation time, the amount of bleeding during operation, the postoperative hospital stay and complications were recorded. The patients were followed up for at least one year to understand the recurrence. Results Of the 79 patients, 77 were successfully completed and 2 were transferred to open surgery. The operation time was 35-260min with an average of 78.16 ± 36.39min. The intraoperative blood loss was 5-200ml with an average of 32.91 ± 26.90ml. The length of hospital stay was 5-28d with an average of 11.27 ± 4.47d. The postoperative hospital stay was 3-17d with an average of 6.49 ± 2.72 d. Postoperative recovery was smooth, no postoperative complications occurred. The patients were followed up for 15-47 months with an average of 28.88 ± 9.16 months. All patients with symptomatic preoperative symptoms were relieved or disappeared after operation. Seventy-seven cases of laparoscopic renal cyst debridement after decompression, no cyst recurrence in 75 cases (cure rate was 97.4%), 2 cases of recurrence (2.6%). Conclusions Retroperitoneal laparoscopic renal cyst decompression surgery is safe and effective, with less trauma, less intraoperative bleeding, faster recovery, less recurrence and reliable curative effect. It can be used as the first choice for treatment of simple renal cysts.