经后腹腔镜与开放肾囊肿去顶减压术的比较

Decortication of Renal Cysts:a Comparison between the Traditional Open Surgery and Retroperitoneal Laparoscopic Approaches

目的:评估经后腹腔镜与开放肾囊肿去顶减压术的临床价值。方法:回顾性调查我院2007年2月至2010年2月73例经后腹腔镜肾囊肿去顶减压术(A组)和2003年2月至2007年2月68例开放肾囊肿去顶减压术(B组)的临床资料并进行比较,统计分析两种术式术前,术中和术后的数据资料。结果:所有手术均获成功。A组手术时间、术中出血量、术后下床时间、总住院天数和术后住院天数均优于B组,有统计学意义(p<0.01)。结论:后腹腔镜肾囊肿去顶术在手术时间、术中出血量和术后下床时间等方面明显优于开放手术。

Objective：To evaluate efficacy,safety,and feasibility of retroperitoneal laparoscopic decortication of renal cysts and its comparison with open surgery.Methods：A retrospective analysis of database from all patients with renal cysts who were operated on at our institution was evaluated from February 2003 to February 2010.The database comprises information for demographic,clinical,imaging,preoperative,intraoperative,and postoperative data.A comparison between 2 groups（group A,73 cases,retroperitoneal laparoscopic decortication;group B,68 cases,traditional open surgery）were done for operative time,estimated blood loss,hospital stay.Results：All operations were successfully performed.There were no statistical differences of demorgraphic data between the two groups preoperatively.Group A had the advantages of reduced operating time,blood loss,ambulation,total hospital stay and postoperative hospital stay than group B（p0.01）.Conclusion：Retroperitoneoscopic laparoscopic decortication is a safe and feasible procedure for renal cyst ablation,with shorter convalescence time,less blood loss and operating time compared with open surgery.