腹腔镜肾囊肿去顶术治疗肾盂旁囊肿的体会

目的:总结腹腔镜肾囊肿去顶术治疗肾盂旁囊肿的临床疗效。方法:回顾分析为21例肾盂旁囊肿患者经腹腔入路行腹腔镜肾囊肿去顶术的临床资料。结果:21例手术均获成功,手术时间35～85 min,平均52 min;术中出血量5～40 ml,平均16 ml;无肾蒂、肾盂损伤等并发症发生,平均住院7 d。术后随访3年,1例于术后8个月复发,再次手术;其余患者随访至今均无复发。结论:腹腔镜肾囊肿去顶术治疗肾盂旁囊肿具有患者创伤小、出血少、疗效确切等优点,可作为肾盂旁囊肿的常规治疗方法。

The clinical analysis of laparoscopic renal cyst unroofing in treatment of parapelvic cyst

Objective:To summarize the effect of laparoscopic renal cyst unroofing in treatment of parapelvic cyst.Methods:The clinical data of 21 patients with peripelvic cyst of kidney who underwent laparoscopic renal cyst unroofing was retrospectively analyzed.Results:The operations were successfully performed in all 21 patients.The operation time was 35-85 min(mean 52 min).The intraoperative blood loss was 5-40 ml(mean 16 ml).No complications occurred in renal pedicle and renal pelvis.The hospital stay was 7 days.All patients were followed up for more than three years.1 case relapsed in 8 months after operation and was operated again.There was no other recurrence.Conclusions:Peritoneal laparoscopic unroofing of renal cyst in peripelvic cyst of kidney is minimally invasive,blood loss is minimal and effective which should be recommended as a routine treatment method of peripelvic cyst of kidney.