腹腔镜下肾盂旁囊肿去顶减压术

Laparoscopic Unroofing and Decompression in the Management of Renal Parapelvic Cyst

目的:评价腹腔镜技术治疗肾盂旁囊肿的有效性和安全性。方法:采用腹膜后途径、经腹腔途径及单孔腹腔镜技术行肾盂旁囊肿去顶减压术21例。结果:21例患者手术全部成功。手术时间35～150 min,平均55 min;术中出血量5～100 ml,平均30 ml。术后2～5天(平均3.2天)拔除引流管。术后住院时间4～9天,平均6.5天。1例术中肾盂修补者术后漏尿1天,引流量为200 ml,其余围术期无并发症。术后随访2～36个月,无复发。结论:腹腔镜技术治疗肾盂旁囊肿具有创伤小、出血少、恢复快等优点,疗效满意,是肾盂旁囊肿治疗的理想方式。

Objective： To evaluate the efficacy and safety of laparoscopy in the treatment of renal parapelvic cyst. Methods：21 cases of parapelvic cysts were treated by retroperitoneoscopic , transabdominal and single-site laparoscopic unroofing and decompression in our hospital respectively. Results：All operations were successful with a mean operation time of 55 minutes（35--150 min）, and a mean blood loss of 30ml（5- 100 ml）. The drainage tubes were removed with a mean 3.2 days（2--5 days） after the operation. Mean hospital stay was 6.5 days（4--9 days）. One case had urine leakage which started 1 day post-operatively, the volume is 200 ml. No other severe complications were noted. 21 cases were followed up for 2 months to 36 months. No recurrence was noted in this series. Conclusions： Laparoscopic unroofing and decompression is a safe, effective and minimally invasive treatment for renal parapelvic cyst. The patients bleeded little and recovered quickly. This method is an ideal choice for treatment of renal parapelvic cyst.