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后腹腔镜下肾囊肿去顶减压术79例疗效分析

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目的探讨后腹腔镜下肾囊肿去顶减压术的临床疗效。方法采用腹腔镜去顶减压术治疗肾囊肿79例患者,并记录手术时间、手术出血量、术后住院时间及手术并发症等情况;术后随访至少1年,了解复发情况。结果79例患者中77例顺利完成手术,2例中转开放手术。手术时间35-260min,平均78.16±36.39min,术中出血量5-200ml,平均32.91±26.90ml,住院天数5-28d,平均11.27±4.47d,术后住院天数3-17d,平均6.49±2.72d。术后均恢复顺利,无术后并发症发生。术后随访15-47个月,平均28.88±9.16个月,术前有症状者术后均缓解或消失。77例腹腔镜肾囊肿去顶减压术后,无囊肿复发者75例(治愈率97.4%),2例复发(占2.6%)。结论后腹腔镜下肾囊肿去顶减压手术安全有效,创伤小,术中出血少,术后恢复快,复发少,疗效可靠,可作为单纯性肾囊肿的首选治疗方法。
Analysis of 79 cases of retroperitoneoscopic renal cystectomy
Objective To investigate the clinical efficacy of retroperitoneoscopic unroofing of renal cyst. Methods 79 cases of retroperitoneoscopic unroofing of renal cyst were retrospectively analyzed. Operation time, blood loss and postoperative follow-up recurrence were also analyzed. Results The procedures were successful in 77 cases(97.5%), 2 cases(2.5%) were converted to open surgery. The surgical time was 2 hours from 35min to 260min, average (78.16± 36.39)min, and the estimated blood loss was from 5ml to 200ml, average (32.91±26.90)ml. The postoperative period was uneventful and no major complication was happened.We followed the patients’ progress for 15 months to 47 months after the operation, average (28.88±9.16)months. All symptomatic patients were symptom-free or released. Retroperitoneoscopic unroofing of renal cyst demonstrated a 97.4%(75 in 77) relapse-free rae and only a 2.6%(2 in 77) recurrence rate. Conclusion Retroperitoneoscopic unroofing of renal cyst is safe, reliable and effective with less bleeding, faster recovery and low recurrence rate, which can be used as the preferred method of treatment of simple renal cyst.

Renal cystSurgeryLaparoscopic

陶媛、陈楚红

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201318 上海市浦东新区周浦社区卫生服务中心内科

201399 上海市浦东医院/复旦大学附属浦东医院泌尿外科

肾囊肿 手术治疗 腹腔镜

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(12)
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