CAJ | 학술논문

目的：探讨在腹腔镜下行去顶开窗术治疗多囊肾合并多囊肝患者的临床应用价值并文献复习。方法回顾性分析我院2009年1月～2014年2月收治的8例多囊肾合并多囊肝患者的临床资料，8例患者均行腹腔镜下肝、肾囊肿去顶开窗术治疗。结果8例患者均在腹腔镜下完成肝、肾囊肿去顶开窗术，手术顺利，无1例中转开放；手术时间为70～120 min，平均（96.31±14.26） min；无并发症发生；住院时间为4～6 d，平均（4.89±0.76） d；术后随访时间为8～24 m，平均随访（18.52±5.03） m；8例患者腰腹部胀痛程度和高血压均降低，5例患者血肌酐、尿素氮、胱抑素 C 明显降低，3例患者肾功能无明显改善。结论在腹腔镜下行多囊肾合并多囊肝去顶开窗术具有创伤小、住院时间短、临床症状改善明显等优点，值得在临床推广应用。
목적：탐토재복강경하행거정개창술치료다낭신합병다낭간환자적림상응용개치병문헌복습。방법회고성분석아원2009년1월～2014년2월수치적8례다낭신합병다낭간환자적림상자료，8례환자균행복강경하간、신낭종거정개창술치료。결과8례환자균재복강경하완성간、신낭종거정개창술，수술순리，무1례중전개방；수술시간위70～120 min，평균（96.31±14.26） min；무병발증발생；주원시간위4～6 d，평균（4.89±0.76） d；술후수방시간위8～24 m，평균수방（18.52±5.03） m；8례환자요복부창통정도화고혈압균강저，5례환자혈기항、뇨소담、광억소 C 명현강저，3례환자신공능무명현개선。결론재복강경하행다낭신합병다낭간거정개창술구유창상소、주원시간단、림상증상개선명현등우점，치득재림상추엄응용。
Objective To evaluate the clinical value of laparoscopic fenestration for polycystic kidney complicated with polycystic liver. Methods The data of eight patients who received laparoscopic fenestration for polycystic kidney complicated with polycystic liver during January 2009 and February 2014 were collected and retrospectively analyzed. Results The procedures were successfully performed in all 8 cases,and no cases was conversed to open abdominal operation. The mean operating time was (96.31 ±14.26) min (70 to 120 min) without complications. The mean hospital stay were (4.89 ±0.76) days (4 to 6 days). The average followed-up period after operation were(18.52±5.03) months(8 to 24 months). The symptom of abdominal pain was improved and high blood pressure decreased in all 8 cases. The serum creatinine,blood urea nitrogen and cystatin C levels were significantly decreased in 5 cases,while in 3 cases had no significant improvement in renal function. Conclusions The laparoscopic fenestration for polycystic kidney complicated with polycystic liver has advantages of less injury,shorter hospital stay and significantly improved clinical symptoms, which may worth the clinical application.