【摘要】 目的 评估腹腔镜单纯性肾囊肿去顶术的可行性和临床应用价值。方法 通过开放性手术治疗单纯性肾囊肿15例与腹腔镜技术对13例单纯性肾囊肿患者经腹腔和经腹膜后两种路径行去顶术治疗的比较。结果 开放性手术治疗组15例手术成功，手术时间50～70min，术中出血100ml，术后切口感染2例，使用止痛药13例，术后平均住院时间10天;腹腔镜手术治疗组13例手术成功，手术时间40～60min，术中出血 10～20ml，术后切口感染0例，使用止痛药2例，术后平均住院时间6天。结论 与传统开放性手术相比，腹腔镜肾囊肿去顶术具有创伤小、出血少、住院周期短等优点，易掌握，并发症几乎不发生，可根据肾囊肿所在部位选择经腹腔或腹膜后路径，可代替开放性术式。
【关键词】 肾囊肿; 腹腔镜术;去顶术
Clinical comparison of laparoscopic and open renal cyst unroofing
TANG Qing-feng,WANG Shao-yong,ZHENG Bo. Department of Urinary Surgery, Chengdu Railroad Hospital, Chengdu 610081,China
[Abstract] Objective To evaluate the feasibility and clinical application value of laparosopic simple renal cyst unroofing.Method A total of 15 cases simple renal cyst are treated by open renal cyst unroofing while 13 cases are treated by laparoscopic cyst unroofing through the abdominal cavity or the retroperitoneal path.Results The open renal cyst unroofing of 15 cases are successful,with operation lasting from 50～70min,a bleeding amount of 100ml during operation,2 cases of incision infection and 13 cases of using painkillers,and an average hospitalization of 10 days after the operation while the laparoscopy of 13 cases are successful, with operation lasting from 40～60min,ableeding amount of 10～20ml,no cases of incision infection and 2 cases of using painkillers,and an average hospitalization of 6 days.Conclusion Compared with traditional open renal cyst unroofing,the laparoscopic renal cyst unroofing generates less pain and less bleeding amount while requiring shorter hospitalization period.Also it is easy to control,has few complications,and enables the selection between the path through the abdominal cavity and the retroperitoneal path based on the position of the renal cyst,thus a replacement of open renal cyst unroofing.
[Key words] renal cyst;laparoscopy;unroofing
本院自2000年8月-2005年8月，行开放性肾囊肿去顶术 15 例，随着腹腔镜技术的开展，自2006年6月-2009年9月实施腹腔镜肾囊肿去顶术(laparoscopic renal cyst unroofing，LR
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