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目的探讨后腹腔镜治疗肾盂旁囊肿的可行性。方法 2004年5月至2009年4月对共11例肾盂旁囊肿患者行后腹腔镜肾囊肿开窗术。常规脂肪囊内游离肾脏,肾门处游离出肾盂旁囊肿,尽量将囊肿壁牵出肾窦外切除,如残存囊壁开口较小,游离带蒂脂肪填塞于囊肿残腔内。结果 1例盂旁囊肿位于肾窦内,分离时损伤肾动静脉分支(动脉分支直径约3 mm);1例盂旁囊肿完全为肾门血管所包裹,患者拒绝开放手术,遂结束手术;其余患者手术顺利。结论后腹腔镜治疗肾盂旁囊肿安全可行。
Objective To investigate the feasibility of retroperitoneal laparoscopic treatment of renal pelvis cyst. Methods From May 2004 to April 2009, 11 cases of patients with renal pelvis and cyst were retrospectively studied. Free fat within the conventional fat capsule kidney, renal pelvis free paraplegia cysts, try to pull out the cyst wall of the extrarenal sinus resection, such as small residual wall openings, free pedicle fat filling in the cyst residual cavity. Results One case of paravertebral cyst was located in the renal sinus, and the branch of renal artery and vein was damaged (diameter of artery branch was about 3 mm). One case of glenoid cyst was completely surrounded by renal portal vein. The patient refused to open surgery and the operation was finished. The patient’s surgery went well. Conclusions Laparoscopic treatment of renal pelvis cyst is safe and feasible.