CAJ | 학술논문

目的评价经后腹膜腹腔镜下治疗肾盂旁囊肿的临床疗效.方法回顾性分析2004年6月至2011年12月间共收治的30例肾盂旁囊肿,行经后腹膜腹腔镜下囊肿去顶减压术治疗,其中男19例,女11例,平均年龄45岁(18～75岁),左侧13例,右侧17例,观察术后临床恢复情况.结果所有患者手术均顺利完成,无中转开腹,前12例平均手术时间50min,后18例平均手术时间35min,术中出血量前12例约20ml,后18例约10ml,术中未发生肾蒂、肾血管及肾盂损伤和并发出血、术后漏尿等并发症,术后平均住院时间5d,术后随访3～60个月,临床症状均消失,影像学检查均未见复发.结论经后腹膜入路腹腔镜治疗肾盂旁囊肿具有视野清晰、创伤小、出血少、住院时间短、术后恢复快等优点,是一种临床上较为成熟的治疗肾盂旁囊肿的理想手术方法.
목적 평개경후복막복강경하치료신우방낭종적림상료효.방법 회고성분석2004년6월지2011년12월간공수치적30례신우방낭종,행경후복막복강경하낭종거정감압술치료,기중남19례,녀11례,평균년령45세(18～75세),좌측13례,우측17례,관찰술후림상회복정황.결과 소유환자수술균순리완성,무중전개복,전12례평균수술시간50min,후18례평균수술시간35min,술중출혈량전12례약20ml,후18례약10ml,술중미발생신체、신혈관급신우손상화병발출혈、술후루뇨등병발증,술후평균주원시간5d,술후수방3～60개월,림상증상균소실,영상학검사균미견복발.결론 경후복막입로복강경치료신우방낭종구유시야청석、창상소、출혈소、주원시간단、술후회복쾌등우점,시일충림상상교위성숙적치료신우방낭종적이상수술방법.
Objectives To evaluate the clinical efficacy in treatment of transperitoneal laparoscopic parapelvic cyst unroofing.Methods From June 2004 to December 2011,the clinical data of 30 patients with parapelvic cyst of kidney who underwent laparoscopic renal cyst unroofing was retrospectively analyzed.Of all the cases,19 males and 11 females with mean aged for45 years (18 ～75 years),13 cases in left and 17 cases in right,clinical recovery situation were observed postoperative too.Results The operations were all successful,and no cases convert to open surgery.The mean operative time and bleeding volume in first 12 cases to 18 cases later was 50min to 35min and 20ml to 10ml,respectively.No complications occurred in renal pedicle,renal vascular and renal pelvis,and no urinary leakage postoperative.The average hospital stays after operation was 5 day.No recurrence and canceration was found during 3 ～ 60 months'follow-up in all patients.Conclusions Transperitoneal approach in treatment of laperoscopic parapelvic cyst unroofing has a clear vision,minimally invasive,less bleeding,shorter hospital stay and quick recovery postoperative,which had been recommended as a mature and ideal surgical treatment method for parapelvic cyst.