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目的 :研究经腹腔及腹膜后腔隙腹腔镜下行肾囊肿去顶术治疗肾囊肿的临床应用。方法 :分析总结 1998年 6月～ 2 0 0 1年 12月采用经腹腔或自制水囊扩张腹膜后腔隙 ,置入腹腔镜电视监视下行肾囊肿去顶术治疗 14例单纯性肾囊肿的临床资料。结果 :14例手术均获得成功 ,手术时间 60～ 15 0分钟 ,平均 85分钟 ,出血 5 0～ 12 0 ml,术中、术后无需输血 ,无严重并发症 ,术后病理诊断与术前相符 ,手术后次日即可进食及下床活动 ,住院时间 5～ 12天 ,术后经 3～ 12个月随访无复发 ,疗效满意。结论 :腹腔镜下肾囊肿去顶术完全达到传统开放手术的治疗效果 ,并具有微创伤、出血少 ,术后恢复快、疗效确切的优点 ,可作为手术治疗单纯性肾囊肿的首选方法
Objective: To study the clinical application of transabdominal and retroperitoneal laparoscopic radical nephrectomy for renal cysts. Methods: Analysis of June 1998 ~ December 2001 by intraperitoneal or homemade balloon expansion of retroperitoneal laparoscopic laparoscopic surgery to monitor the treatment of renal cyst debridement in 14 cases of simple renal cysts clinical data. Results: All the 14 surgeries were successful. The operation time was 60-15 0 minutes with an average of 85 minutes and bleeding ranged from 50 to 120 ml. There were no intraoperative or postoperative blood transfusions and no serious complications. The postoperative pathological findings were consistent with preoperative , The next day after surgery to eat and get out of bed activities, hospitalization time of 5 to 12 days after surgery without recurrence after 3 to 12 months, the effect is satisfactory. Conclusions: Laparoscopic renal cyst debridement completely meets the traditional open surgery and has the advantages of less trauma, less bleeding, faster recovery and more effective curative effect, which can be used as the first choice for surgical treatment of simple renal cysts