小切口手术治疗单纯性肾囊肿

目的　探讨小切口手术治疗单纯性肾囊肿的特点及适应证。　方法　手术切口取第12肋尖下方做长约 3～ 4cm的小切口 ,对单纯肾囊肿患者行小切口囊肿去顶术 ,对手术方法、疗效及适应证进行分析。　结果　小切口手术组 19例 ,囊肿均位于肾下极及中部背侧 ,手术时间 2 0～ 80min(34± 15min) ,术后未发生并发症 ,住院日 3～ 8d(4 4± 1 5d)。随访 3～ 6个月均无复发。　结论小切口手术治疗单纯肾囊肿具有手术操作简便、创伤小、恢复快、降低住院日及医疗费用等优点 ,其适应证是肾下极、肾中部背侧的单纯肾囊肿。

Treatment of simple renal cysts with small incision

OBJECTIVE: To analyze the operative characteristics and indications small incision for treating simple renal cysts. METHODS: 19 patients with simple renal cyst were treated by ablation with small incision from January. 1995 to September. 2001 at our institute. Surgical technique, curative effect and indications were analyzed. RESULTS: In the 19 patients the operative procedure took 34 +/- 15 min (20-80 min) on average and the mean hospitalization was 4.4 +/- 1.5 d (3-8 d). Neither complication nor recurrence occurred from 3 to 6 months during the follow-up. CONCLUSIONS: Ablation with small incision is significantly advantageous for operation, recovery, short hospital stay, and lower cost. This operation is indicated for simple renal cyst in the lower, middle pole of the kidney.