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目的探讨后腹腔镜治疗肾囊性病变的安全性与有效性。方法回顾性分析本院自2004年2月至2007年6月采用后腹腔镜手术治疗53例肾囊性病变患者的临床资料,其中单发肾囊肿切除46例,多发肾囊肿切除7例。结果53例患者均顺利完成手术。其中有2例术中出现腹膜损伤,用钛夹夹闭腹膜裂孔后顺利完成手术;1例重复肾上肾积水误诊为右肾上极单发囊肿,1个月后行开放手术,切除重复肾之上肾。手术时间为30～65min,平均45min,24h进食下床活动,同时拔引流管。结论后腹腔镜肾囊肿去顶术是目前治疗肾囊肿的最理想术式,是腹腔镜微创技术初学者的入门手术。
Objective To investigate the safety and effectiveness of retroperitoneoscopic treatment of renal cystic lesions. Methods The clinical data of 53 patients with renal cystic lesions treated with retroperitoneal laparoscopy from February 2004 to June 2007 in our hospital were retrospectively analyzed. Among them, 46 cases were excised for single renal cyst and 7 cases were for multiple cyst excision. Results 53 patients completed the operation successfully. Among them, 2 cases had peritoneal injury during operation, and the operation was successfully completed after the peritoneal hole was closed with the titanium clip. One case of repeated adrenal hydronephrosis was misdiagnosed as the single pole cyst on the right kidney. One month later, it was operated open and the resection was repeated Kidney above the kidney. Surgery time was 30 ~ 65min, an average of 45min, 24h feeding activity, while pulling the drainage tube. Conclusions Retroperitoneal laparoscopic renal cyst debridement is the most ideal method for the treatment of renal cysts and is a beginner for laparoscopic minimally invasive surgery.