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目的探讨后腹腔镜肾囊肿去顶术的适应证、疗效及手术要点。方法回顾并总结26例后腹腔镜肾囊肿去顶术,男19例,女7例,年龄32~66岁,平均48岁。囊肿直径5.0~8.5 cm。结果26例手术均获成功,手术时间30~100 min,平均46 min,术中出血量20~80 ml,平均35 ml,术后住院3~6 d,随访1~12个月,24例未见囊肿复发。结论后腹腔镜肾囊肿去顶术具有疗效确切、微创、恢复快等特点,可作为肾囊肿外科治疗的首选术式,值得临床的推广应用。
Objective To investigate the indications, curative effects and operative points of retroperitoneal laparoscopic renal cyst debridement. Methods Retrospective and summary of 26 cases of retroperitoneal laparoscopic renal cyst debridement, 19 males and 7 females, aged 32 to 66 years, mean 48 years. Cyst diameter 5.0 ~ 8.5 cm. Results All the 26 operations were successful. The operation time ranged from 30 to 100 min (46 min on average). The blood loss was 20 to 80 ml (average 35 ml). The postoperative hospital stay was 3 to 6 days. The patients were followed up for 1 to 12 months and 24 See cyst recurrence. Conclusions Retroperitoneal laparoscopic renal cyst debridement has the characteristics of exact curative effect, minimally invasive and rapid recovery. It can be used as the first choice surgical treatment of renal cyst and is worthy of clinical application.