经腹腔途径腹腔镜行肾盂旁囊肿去顶术45例

目的 探讨腹腔镜经腹腔途径治疗肾盂旁囊肿的微创方式.方法 2008年至2015年,腹腔镜经腹腔途径行囊肿去顶减压术治疗肾盂旁囊肿45例,其中男33例,女12例,年龄区间为35～65岁,左侧27例,右侧18例.观察术后临床恢复及影像学改善情况.结果 44例手术均顺利完成,无中转开腹.1例患者为肾积水误诊为肾盂旁囊肿,术中予以缝合,留置双J管,术后无漏尿;手术时间平均值35min,术中无明显活动性出血,未见明显术中及术后并发症发生,术后住院时间3 ～5d,术后病理44例为肾盂旁囊肿.术后随访3～18个月,临床症状无反复,尚无在影像学下确诊复发病例.结论 经腹腔途径腹腔镜下囊肿去顶减压解剖层次清楚,暴露手术标志物清晰,手术时间短,损伤小,效果确切,是治疗肾盂旁囊肿的理想方法.

Transperitoneal laparoscopic parapelvic cyst unroofing of 45 cases

Objectives To evaluate the experience and clinical efficacy of transperitoneal laparoscopic parapelvic cyst unroofing.Methods From 2008 to 2015,45 cases of transperitoneal laparoscopic parapelvic cyst unroofing were collected.Of all the cases,33 males and 12 females,aged from 35 to 65 years,and 27 patients in left,18 patients in right.Results All of these 44 operations were successful,no cases convert to open surgery.1 case for kidney seeper was misdiagnosed as renal pelvis cyst.And double J tube was placed intraoperative and no leakage of urine.All of these cases had no complications after sutured.The average operation time was 35min.No obvious activity bleeding occured,and the average hospital stays after operation was 3 ～ 5 d.Histological studies showed 44 cases parapelvic cyst.Clinical symptoms repeatedly and recurrence under the imaging diagnosis were found during 3 ～ 18 months'follow-up in 45 cases.Conclusions The transperitoneal laparoscopic parapelvic cyst unroofing have the advantages of clear surgical field,less trauma and rapid recovery.It is an effective treatment for the renal pelvis cyst.