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目的:评价腹腔镜技术治疗肾盂旁囊肿的有效性和安全性。方法:采用腹膜后途径、经腹腔途径及单孔腹腔镜技术行肾盂旁囊肿去顶减压术21例。结果:21例患者手术全部成功。手术时间35～150 min,平均55 min;术中出血量5～100 ml,平均30 ml。术后2～5天(平均3.2天)拔除引流管。术后住院时间4～9天,平均6.5天。1例术中肾盂修补者术后漏尿1天,引流量为200 ml,其余围术期无并发症。术后随访2～36个月,无复发。结论:腹腔镜技术治疗肾盂旁囊肿具有创伤小、出血少、恢复快等优点,疗效满意,是肾盂旁囊肿治疗的理想方式。
Objective: To evaluate the effectiveness and safety of laparoscopy in the treatment of paravalveolar cyst. Methods: Peritoneal approach, transperitoneal approach and single-hole laparoscopy were performed in 21 cases of renal pelvis cyst debridement and decompression. Results: All the 21 cases were successful. The operation time was 35 to 150 minutes with an average of 55 minutes. The intraoperative blood loss was 5 to 100 ml with an average of 30 ml. 2 to 5 days after surgery (average 3.2 days) to remove the drainage tube. Postoperative hospital stay 4 to 9 days, an average of 6.5 days. One case of intraoperative renal pelvis repair leakage after surgery for 1 day, the drainage volume was 200 ml, the remaining perioperative complications. All patients were followed up for 2 to 36 months without recurrence. Conclusion: Laparoscopic treatment of perinephric cyst has the advantages of less trauma, less bleeding, faster recovery and satisfactory curative effect. It is an ideal way for the treatment of renal pelvis cyst.