后腹腔镜手术治疗肾盂旁囊肿的体会
The clinical analysis of retroperitoneal laparoscopic parapelvic cyst unroofing
投稿时间:2013-09-01  修订日期:2013-09-24
DOI:
中文关键词:  后腹腔镜  肾盂旁囊肿  手术
英文关键词:Retroperitoneal laparoscopy  Parapelvic cyst  Operation
基金项目:
作者单位邮编
李志军 南华大学附属第二医院泌尿外科 421001
李勇* 南华大学附属第二医院泌尿外科 421001
周浩 南华大学附属第二医院泌尿外科 
魏建华 南华大学附属第二医院泌尿外科 
秦国庆 南华大学附属第二医院泌尿外科 
王毅 南华大学附属第二医院泌尿外科 
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中文摘要:
      目的:探讨后腹腔镜治疗肾盂旁囊肿的临床经验。方法:回顾性分析为9例肾盂旁囊肿患者行后腹腔镜下肾囊肿去顶减压术的临床资料。结果:9例手术均成功完成,其中1例术中腹膜破裂,予以缝合后,顺利完成手术,无严重并发症。手术时间45~95min,平均68min,术中出血量20~50ml,平均30ml,术后3~5天拔除腹膜后引流管。随访6~36月,均无复发。结论:经腹膜后入路行腹腔镜下肾盂旁囊肿去顶减压术,创伤小,恢复快,并发症少,是肾盂旁囊肿较理想的治疗方式。
英文摘要:
      Objective: To investigate the efficacy of retroperitoneal laparoscopic parapelvic cyst unroofing. Methods: clinical data of 9 patients underwent retroperitoneal laparoscopic parapelvic cyst unroofing were retrospectively analyzed. Results: All the operations were successfully completed. No severe complication occurred except peritoneal rhexis was observed in 1 case after sutured. The mean operating time was 68 minutes(range from 45-95min), The mean intraoperative blood loss was 30ml(range from 20-50ml). The stream tube was pulled out 3~5 days later after operation. 9 cases were followed up for 6~36 months’ post--operatively,with no reccurence. Conclusions: The retroperitoneal laparoscopic parapelvic cyst unroofing has advantages of minimal trauma, rapid recovery and few complications. It is the ideal treatment choice for parapelvic cyst.
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