98年2～8月我们共作腹腔镜胆囊联合肾囊肿切除术5便,效果好,现报告如下。 1 临床资料与方法 1.1 一般资料 女3例,男2例,年龄27～68岁,平均54岁,胆囊结石3例,胭囊息肉2例,全部为单发肾囊肿,最大为14×15×8cm。术前经B超、CT确诊为胆囊结石、胆囊息肉,其中右肾囊肿3例,左肾囊肿2例,均经静脉肾盂造影证实肾囊肿与肾盂不相通。 1.2 方法 气管插管全麻后,病人取平卧位。常规消毒手术区,铺无菌巾及大单,脐下切开皮肤1.1～1.2cm到皮下组织,血管钳分离至深筋膜并用巾钳提起,气腹针穿刺注入二氧化碳气体2～4L腹内压力 98 years from August to August we have a total of 5 cases of laparoscopic cholecystectomy combined with renal cyst resection, the effect is good, are as follows. 1 Clinical data and methods 1.1 General information Female 3 cases, 2 males, aged 27 to 68 years, mean 54 years old, gallbladder stones in 3 cases, 2 cases of cystic polyps, all single renal cysts, up to 14 × 15 × 8cm. Preoperative ultrasound B, CT diagnosed as gallstones, gallbladder polyps, including 3 cases of right renal cysts, left renal cysts in 2 cases, confirmed by intravenous pyelography renal cyst and renal pelvis do not communicate. 1.2 Methods tracheal intubation general anesthesia, the patient supine position. Routine disinfection operation area, shop sterile towel and large single, under the umbilical incision skin 1.1 ~ 1.2cm to the subcutaneous tissue, vascular forceps separation to deep fascia and use of forceps lift, the injection of carbon dioxide gas pneumoperitoneum needle 2 ~ 4L intra-abdominal pressure