后腹腔镜囊肿去顶减压术治疗肾脏囊性疾病57例报告

目的:探讨后腹腔镜囊肿去顶减压术治疗肾脏囊性疾病的临床疗效及手术方法。方法:对57例肾脏囊性疾病患者行后腹腔镜囊肿去顶减压术,其中单纯性肾囊肿51例,多囊肾6例,回顾分析相关资料。结果:57例手术均获成功,无严重并发症发生。镜下操作时间单纯性肾囊肿15～35 min,多囊肾90～120 min;单纯性肾囊肿术中出血5～20 ml,多囊肾30～60 ml。术后随访3～24个月,单纯性囊肿无复发;多囊肾患者术后腰部胀痛缓解,3例合并肾功能不全的患者肾功能改善。结论:后腹腔镜囊肿去顶减压术治疗肾脏囊性疾病患者创伤小,康复快,疗效确切,可作为治疗肾脏囊性疾病的首选方法。

Retroperitoneal laparoscopic cyst decompression for renal cystic disease: a report of 57 cases

Objective:To evaluate the therapeutic effect and operative method of retroperitoneal laparoscopic cyst decompression for renal cystic disease.Methods:Fifty-seven patients with renal cystic diseases were treated by retroperitoneal laparoscopic cyst decompression,including 51 cases of simple renal cyst and 6 cases of polycystic kidney.The clinical data was retrospectively analyzed.Results:All operations were completed successfully without any serious complications.The operative time under laparoscope for simple renal cyst was 15-35 min,and for polycystic kidney 90-120 min.The blood loss of simple renal cyst was 5-20 ml,and polycystic kidney 30-60 ml.During the follow up of 3 to 24 months,no recurrence was observed in cases with simple renal cyst,and lumbar pain was relieved in cases with polycystic kidney.The renal function of 3 patients with polycystic kidney and renal insufficiency got better.Conclusions:Retroperitoneal laparoscopic cyst decompression is an optimum method for renal cystic diseases with advantages of minimal trauma,rapid recovery and definite curative effect.