论文部分内容阅读
报告经腹膜后途径腹腔镜治疗肾囊肿６例共７侧，患者平均４７．８岁。左侧２例，右侧３例，双侧１例。囊肿部位下极３例，中部１例，上极２例，多发１例。囊肿最大直径平均６．４ｃｍ，平均手术时间１３５ｍｉｎ，平均术后住院５．８ｄ。该组除并发水囊破裂而致腹膜破裂，改腹腔镜辅助下开放手术１侧次外，余均成功。术后随访平均３．５月，无囊肿复发。作者对术式的适应证、操作要点、合并症产生原因及预防和处理进行了讨论，认为在有条件的医院，腹腔镜肾囊肿去顶术可作为一项常规术式，取代大部分开放去顶术。
The report of retroperitoneal laparoscopic treatment of renal cysts in 6 cases, a total of 7 sides, an average of 47.8 years old patients. 2 cases left, 3 cases right, and 1 case bilateral. Cyst site in the lower pole in 3 cases, in 1 case, the pole in 2 cases, 1 case of multiple. The maximum diameter of the cyst average 6.4cm, the average operation time 135min, average postoperative hospitalization 5.8d. The group in addition to concurrent rupture of the sac caused by peritoneal rupture, laparoscopic assisted open surgery 1 times, I have succeeded. Postoperative follow-up average 3.5 months, no cyst recurrence. The authors discussed the indications, main points of operation, causes of complications and their prevention and treatment. It is concluded that laparoscopic removal of renal cysts in a conditional hospital can be used as a routine procedure to replace most of the open Top surgery.