CAJ | 학술논문

目的探讨后腹腔镜手术治疗肾囊肿的方法、疗效与治疗体会.方法 51例肾囊肿患者均在全身麻醉下行后腹腔镜肾囊肿去顶减压术.结果 49例手术获成功,2例因肾周粘连分离出血中转开放手术.手术时间45～130 min,平均65 min.术中出血量20 ～80 ml,平均40ml.术后住院天数5～8d,平均6d.无严重并发症,术后随访3 ～36个月以上未见复发.结论后腹腔镜肾囊肿去顶减压术创伤小、恢复快、疗效佳,是肾囊肿的首选治疗方法.
목적 탐토후복강경수술치료신낭종적방법、료효여치료체회.방법 51례신낭종환자균재전신마취하행후복강경신낭종거정감압술.결과 49례수술획성공,2례인신주점련분리출혈중전개방수술.수술시간45～130 min,평균65 min.술중출혈량20 ～80 ml,평균40ml.술후주원천수5～8d,평균6d.무엄중병발증,술후수방3 ～36개월이상미견복발.결론 후복강경신낭종거정감압술창상소、회복쾌、료효가,시신낭종적수선치료방법.
Objective To investigate the techniques,efficacy and treatment experience of retroperitoneoscopic unroofing and decompression in the treatment of renal cyst.Methods Fifty-one patients with renal cyst were performed with retroperitoneoscopic unroofing and decompression under general anesthesia.Results Fourty-nine cases were successful,2 cases undergone open cyst unroofing due to severe adhesion around the kidney.The operation time was 45 - 130 min ( mean 65 min),the intraoperative blood loss was 20 - 80 ml ( mean 40 ml).The postoperative hospital stay was 5 - 8 days ( mean 6 days).During the follow-up of 3 - 36 months,no recurrence or severe complication occured.Conclusions Retroperitoneoscopic unroofing and decompression is effective,minimal invasive,with rapid post-operative rehabilitation,so is the first choice to treat renal cyst.