后腹腔镜肾囊肿去顶术

Comparison of retroperitoneal laparoscopic renal cyst unroofing and open renal cyst unroofing

目的 比较经后腹腔镜与开放性肾囊肿去顶术的疗效 ,并探讨经后腹腔镜肾囊肿去顶术处理要点。 方法 分析9例经后腹腔镜肾囊肿去顶术和 2 0例开放性肾囊肿去顶术患者的临床资料 ,比较两组手术时间、术中失血量和术后住院天数等指标。 结果 两组手术时间比较 ,差异无显著性意义 (P >0 .0 5 ) ,但经后腹腔镜手术组术中失血量及术后住院时间均显著少于开放性手术组 (P <0 .0 5 )。 结论 后腹腔镜肾囊肿去顶术具有创伤小、康复快、疼痛轻的优点 ,疗效明显优于传统开放性手术。

Objective To compare the therapeutic effects of retroperitoneal laparoscopic versus open renal cyst unroofing and probe into the management principles of retroperitoneal laparoscopic renal cyst unroofing. Methods 9 cases treated by retroperitoneal laparoscopic renal cyst unroofing and 20 cases by open renal cyst unroofing were retrospectively analyzed. Results Operation time of retroperitoneal laparoscopic and open renal cyst unroofing had no significant difference (P>0.05). Retroperitoneal laparoscopic group had significant less blood loss and cyst unroofing had the advantages of less trauma and pain and rapid recovery. Conclusion The therapeutic effects of retroperitoneal laparoscopic renal cyst unroofing was superior to those by traditional open renal cyst unroofing.