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目的总结经后腹腔镜下囊肿去顶减压术治疗单纯性肾囊肿的经验,讨论手术适应证及手术要点。方法60例患者采用全身麻醉,根据腰大肌、腹膜外脂肪、腹膜、肾周筋膜等标志,寻找肾囊肿,距肾实质0.5 cm切除囊壁去顶。结果26例肾囊肿患者均获手术成功,手术时间40~130分钟,平均56分钟;术中出血20~100m l,平均30m l;术后住院3~5天。26例病理报告均为良性病变。18例术后12个月B超复查,未见囊肿复发。结论后腹腔镜肾囊肿去顶术是安全、有效的方法。
Objective To summarize the experience of retroperitoneal laparoscopic cyst decompression in the treatment of simple renal cysts and to discuss the indications of surgery and operative points. Methods Sixty patients underwent general anesthesia. According to the signs of psoas muscle, extraperitoneal fat, peritoneum and perirenal fascia, renal cysts were searched, and the cyst wall was excised 0.5 cm from the renal parenchyma. Results All the 26 patients with renal cysts were operated successfully. The operation time was 40 to 130 minutes with an average of 56 minutes. The intraoperative blood loss was 20 to 100 ml, with an average of 30 ml. The patients were hospitalized for 3 to 5 days. 26 cases of pathological reports are benign lesions. Eighteen patients underwent B-ultrasound 12 months after operation, and no cyst recurrence was found. Conclusions Laparoscopic renal cyst debridement is a safe and effective method.