摘要
目的 探讨经后腹膜途径腹腔镜下肾囊肿去顶术的临床疗效。方法 通过后腹膜途径采用腹腔镜技术行 肾囊肿去项术42例,男20例,女22例,平均63岁。14例患者为双侧多发肾囊肿,2例为单侧(左侧)多发,26例为 单侧单发(左侧15例,右侧11例,囊肿位于上极9例、中极7例、下极10例)。肾囊肿大小平均5.5 cm×6.3 cm。 结果 42例患者中41例经后腹膜途径采用腹腔镜技术治疗成功,成功率97.62%(41/42)。手术时间55~260 min,平均110 min。失血量平均30 ml,术中、术后均未输血。术后平均住院6 d。所有患者均未发现皮下气肿、腹腔 脏器或大血管损伤、肾周血肿、肾周脓肿等并发症。随访1~16月无复发。结论 经后腹膜途径腹腔镜下肾囊肿去 顶术是一项安全、有效、微创、痛苦小、恢复快的治疗肾囊肿的方法,值得临床的推广应用。
Objective To evaluate the effect of retro-peritoneal laparoscopic unroofing for renal cysts. Methods Retroperitoneal laparoeopic unroofing for kidney cysts was performed in 42 consecutive patients (20 male patients and 22 female with an average age of 63) from December in 2003 to March in 2005, in which 14 cases had bilateral multiple cysts,2 unilateral multiple cysts,and 26 unilateral cysts (15 on left,and 11 on right ; 9 cases of upper,7 of middle,and 10 of distal). The average diameter of cysts was 5.5cm × 6.3 cm. Results Retro-peritoneal laparoeopic unroofing for renal cysts was performed successfully in 41 cases (97.62 % ). The average operation time was 110 minutes, and the average hospitalization time after operation was 6 days. Peri-nephric abscess or peri-renal hematoma after operation had not been observed. No other serious complications occurred. The patients had been followed up for 1 month-16 months and no relapse of the cyst had been observed. Conclusion Retro-peritoneal laparocopic surgery is a highly effective, safe and mini-invasive method for managing renal cysts. The procedure should be considered as a popularizing and comprehensive application.
出处
《同济大学学报(医学版)》
CAS
2005年第5期52-53,64,共3页
Journal of Tongji University(Medical Science)