| 李卫平 郭秀全 王养民 常德辉 张斌 乔够梅.腹腔镜手术治疗肾盂旁囊肿的体会（附67 例报告）[J].现代生物医学进展英文版,2014,14(11):2069-2071. |
| 腹腔镜手术治疗肾盂旁囊肿的体会（附67 例报告） |
| Clinical Experience of Laparoscopic Surgery in the Treatment ofParapelvic Cyst (report of 67 cases) |
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| DOI： |
| 中文关键词: 腹腔镜手术 单孔 肾盂旁囊肿 治疗 |
| 英文关键词: Laparoscopic surgery Single-port Parapelvic cyst Treatment |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨腹腔镜技术治疗肾盂旁囊肿的方法和疗效，并结合治疗体会，为临床提供更多的参考依据。方法：对2006 年3
月～2011年9 月我科收治的67 例肾盂旁囊肿患者的临床资料进行回顾性分析，其中采用经腹膜后途径29 例，经腹腔途径20
例，单孔腹腔镜技术18 例。分析患者的手术时间、术中出血量、并发症的发生情况、术后住院时间及复查随访情况。结果：所有病
例的手术均成功，手术时间38～120min，平均时间(70.3± 9)min；术中出血量10～125 ml，平均(47.3± 15.7)ml；均未出现肾蒂及肾
盂损伤等并发症。术后2～6 天(平均3.4 天)拔除引流管，术后住院3～7 d，平均(4.2± 0.6)d。术后1月复查，腰酸、腰痛、镜下血尿
以及肾积水、高血压等临床症状均消失。术后随访1～47 个月，未见囊肿复发。结论：腹腔镜手术治疗肾盂旁囊肿具有暴露充分、
创伤小、出血少、恢复快等优点，可作为肾盂旁囊肿治疗的首选方法。术者应严格掌握其适应症，术前完善相关检查，术中仔细辨
认肾静脉壁与囊肿，操作轻柔，填入肾门脂肪可有效防止囊肿的术后复发。 |
| 英文摘要: |
| Objective:To Investigate the method and effect of laparoscopic surgery in the treatment Parapelvic cyst, summarize
the experience of treatment and provide references for the clinic. Methods: A retrospective research was performed to analyze the clinical
data of 67 cases of Parapelvic cyst who were admitted in our hospital from March 2006 to September 2011, including 29 cases of
laparoscopic retroperitoneal approach, 20 cases of abdominal approach, 18 cases of bytransumbilical single-port laparoscopy approach.
The operating time, blood loss, complications, postoperative hospital stay and follow-up were recorded and reviewed.Results:All the
patients were successfully treated. The mean operating time was (70.3± 9.8) min(range of 38~120min). The mean blood loss was (47.3±
15.7) ml (range of 10~125 ml), and no renal pelvis and renal pedicle injury. Postoperative hospital stay was 3~7 d, the average was (4.2±
0.6) d. Patients were followed up 2 to 37 months, no cyst recurrence was found. Conclusion:Laparoscopic surgery had the advantages of
thorough exposure, less trauma and bleeding, faster recovery, which could be used as the preferred treatment in the reatment of parapelvic
cyst. The operator should strictly control the indications, complete related examination before surgery, distinguish the renal vein wall with
hydatoncus during surgery in order to effectively prevent the relapse of hydatoncus after surgery. |
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