摘要
目的探讨后腹腔镜肾囊肿去顶术的方法及疗效。方法20例采用全麻，后腹腔镜下，距肾实质5mm将囊壁切除去顶。结果20例后腹腔镜去顶术均获成功，手术时间40～180min，平均70min；术中出血量20～100ml，平均48ml。术后2～3d拔除后腹腔引流管。术后住院6～8d。20例随访4～24个月，除2例仍有直径小于2cm囊肿外。余未见复发。结论后腹腔镜肾囊肿去顶术疗效确切、安全、微创、术后恢复快，可取代传统开放手术。
Objective To explore the techniques and efficacy of retroperitoneoscopic unroofing in the treatment of renal cyst. Methods All the 20 patients were operated on under general anesthesia and underwent netroperitoneoscopic unroofing. The cyst walls were unroofed 5 mm from the edge of renal parenchyma. Results All the 20 cases underwent netroperitoneoscopic unroofing were successful. The operaton time was 40 - 180min （ mean 70min） ;the intraoperative blood loss was 20 - 100ml （ mean 48ml）. The retroperitoneal drainage - tubes were removed 2 - 3 days after operator, The postoperative hospital stay was 6 - 8 days. During the follow - up of 4 - 24 months ,no recurrence was found except 2 cases remaining renal cyst under 2cm in diameter. Conclusions Retroperitoneoscopic unroofing is effective,safe,minimal invasive,rapid pest -operative rehabilitation,and it can replace conventional open surgery.
出处
《中国厂矿医学》
2006年第2期114-115,共2页
Chinese Medicine of Factory and Mine
关键词
后腹腔镜
肾囊肿
去顶术
Retroperitoneoscopy
Renal cyst
Unroofing
