Hem-o-lok在后腹腔镜肾盂旁囊肿去顶术中的临床应用

目的探讨Hem—o—lok在后腹腔镜肾盂旁囊肿去顶术中的临床疗效。方法22例肾盂旁囊肿患者随机分为两组，对照组（n=12）常规行腹腔镜下肾盂旁囊肿去顶术；治疗组（n=10）行腹腔镜下肾盂旁囊肿去顶术并囊壁残端钳夹Hem—o—lok。所有患者术后随访1年。结果22例手术均获成功，无肾蒂、肾盂及肾实质损伤等并发症发生。治疗组术中出血量、手术时间、术后复发率低于对照组，差异有显著意义（P〈0．05）。结论后腹腔镜下。肾盂旁囊肿去顶术囊壁残端钳夹Hem—o—lok，安全有效，复发率低，值得临床推广应用。

Clinical application of the Hem-o-lok in retroperitoneal laparoscopic parapelvic cyst unroofing

Objective To evaluate the clinical efficacy and safety of Hem-o-lok in retroperitoneal laparoscopic parapelvic cyst unroofing. Methods Twenty-two patients with parapelvic cyst were randomized into two groups. Control group（n = 12） underwent retroperitoneal laparoscopic parapelvic cyst unroofing. Treatment group（n = 10） underwent retroperitoneal laparoscopic parapelvic cyst unroofing,and cyst stump clamped with Hem-o-lok clip to prevent the cyst stump closed. All cases were followed up for 1 year after operation. Results All the operations were successful. No complications to the renal pedicle,renal pelvis and renal parenchyma were occurred. The blood loss,operative time and recurrence rate were significant lower in the treatment group than in the control group. There was a significant difference between treatment group and control group （P 〈 0.05）. Conclusion Cyst stump with Hem-o-lok clip in retroperitoneal laparoscopic parapelvie cyst unroofing, has the advantages of safety,validity and lower recurrence. It is a better clinical treatment of parapelvic cyst and worthy popularizing application in clinic.