论文部分内容阅读
目的:评价经后腹腔入路和经肾周筋膜内入路腹腔镜单纯性肾囊肿去顶术的临床疗效。方法:回顾性分析经后腹腔两种不同入路腹腔镜去顶术45例患者的临床资料,比较两组术式手术时间、术中出血量、留置引流管的时间、术后住院时间、以及术者对手术的满意程度等指标。结果:45例患者均顺利完成手术,无中转开放,术中术后无明显并发症。经肾周筋膜内入路组在手术时间要优于后腹腔入路组(P<0.05),两组在术中出血量、留置引流管的时间、术后住院时间等方面,差异无统计学意义。χ2检验提示,手术者对经肾周筋膜内入路组手术满意程度低于后腹腔入路组(P<0.05)。结论:两种入路行腹腔镜单纯性肾囊肿去顶术各有优缺点,最终的术式选择需根据囊肿的部位以及手术者对不同入路的手术技巧差异和熟悉程度等多方面来考虑。
Objective: To evaluate the clinical effect of transperitoneal approach and laparoscopic simple renal cyst debridement via perrenal fascia. Methods: The clinical data of 45 patients with laparoscopic removal of the posterior abdominal cavity through two different approaches were retrospectively analyzed. The operation time, intraoperative blood loss, time of indwelling drainage tube, postoperative hospital stay, Surgeon satisfaction with surgery and other indicators. Results: All the 45 patients completed the operation without any transit and no obvious complications were found after operation. The perirenal fascia approach group was superior to the retroperitoneal approach group at operation time (P <0.05). There was no significant difference in the amount of bleeding, indwelling drainage tube and postoperative hospital stay Significance of learning. The χ2 test showed that the surgical satisfaction of the perineal fascia patients was lower than that of the retroperitoneal approach patients (P <0.05). Conclusions: There are both advantages and disadvantages of laparoscopic simple renal cyst debridement in the two approaches. The final choice of surgical procedure should be based on the location of the cyst and the surgical skills and familiarity of the different approaches .