洞穴式切口肾囊肿去顶术的初步经验

Port Access of Unroofing of Solitary Renal Cyst

目的:探讨洞穴式切口进行肾囊肿去顶术的方法、疗效、优点及适应证等。方法:在平均3．5 cm的切口中利用洞穴式手术器械暴露获得锥形的手术视野,直视下进行肾囊肿(包括多囊肾)去顶减压术。对洞穴式手术器械的应用,手术方法,疗效及适应证等进行分析。结果:单纯肾囊肿25例及多囊肾6例全部成功,手术时间平均为53 min,平均出血21 ml,术后住院平均6．3 d,术后无并发症,随访3-20个月无并发症及复发。结论:洞穴式切口肾囊肿去顶减压术具有直视下操作、安全、易掌握、微创、费用低、适应证宽和无复发等优点,是微创泌尿外科可选择的新方法。

Objective：To analyze the operative methods, efficacy, advantages and indications of port access incision for per forming unroofing of solitary renal cyst. Methods：Using the apparatus of the port access of urosurgical operation to expose the taper view, we performed the unroofing of solitary renal cyst and polycystic kidney optically. The length of the incision was 3. 5 cm in average. Apparatus＇ application, surgical technique, curative effect and indications were analyzed. Results：In 25 cases with simple renal cyst and 6 cases of polycystic kidney, success has been achieved in all patients, no complication occured. The operative procedure took 53 rain on average, breeding was 21 ml and the mean hospitalization was 6. 3 d. Neither complication nor recurrence occurred from 3 to 20 months during the follow-up. Conclusious：Application of method is significantly advantageous for optic operation, safety,wieldy, minimally invasiveness, inexpensive, wider indication and no recurrent . It＇s a new method of minimally invasive urology for selection .