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目的:探讨俯卧位经背侧入路后腹腔镜肾囊肿去顶术的方法和疗效。方法:回顾性分析俯卧位经背侧入路后腹腔镜肾囊肿去顶术治疗12例单纯性肾囊肿患者的临床资料。其中男7例,女5例,年龄为31～67岁,平均42.6岁。术前均行泌尿系B超、静脉尿路造影(IVU)和肾脏CT平扫及增强检查明确囊肿大小、数量及位置,证实与肾盂集合系统不相通。囊肿直径4.5～12.0 cm,平均7.6 cm。结果:12例患者均在后腹腔镜下顺利完成手术。手术时间30～105 min,平均48.5 min;术中出血量5～25 ml,平均14.2 ml;术后住院时间3～6天,平均4.8天。围手术期未出现并发症。随访12～20个月,平均15.3个月,未见囊肿复发。结论:俯卧位背侧入路后腹腔镜肾囊肿去顶术治疗单纯性肾囊肿安全可行。经背侧入路后腹腔镜手术的成功实施为临床手术路径的研究提供一种新的思路。
Objective: To investigate the method and effect of laparoscopic renal cyst detoxification in the prone position through dorsal approach. Methods: The clinical data of 12 cases of simple renal cyst treated with laparoscopic removal of renal cyst in the prone position by dorsal approach were retrospectively analyzed. Including 7 males and 5 females, aged 31 to 67 years old, with an average of 42.6 years old. Preoperative urinary tract ultrasound, intravenous urography (IVU) and renal CT scan and enhanced examination of clear cyst size, quantity and location, confirmed that the collection system and the renal pelvis are not the same. Cyst diameter 4.5 ~ 12.0 cm, an average of 7.6 cm. Results: All the 12 patients underwent laparoscopic surgery successfully. The operation time ranged from 30 to 105 minutes with an average of 48.5 minutes. The intraoperative blood loss was from 5 to 25 ml with an average of 14.2 ml. The postoperative hospital stay was from 3 to 6 days with an average of 4.8 days. Perioperative complications did not occur. Follow-up 12 to 20 months, an average of 15.3 months, no cyst recurrence. Conclusions: Laparoscopic renal cyst debridement posterior approach to the treatment of simple renal cysts is safe and feasible. The successful implementation of laparoscopic surgery through the dorsal approach provides a new idea for the study of clinical surgical pathways.