CAJ | 학술논문

目的探讨后腹腔镜下单纯性肾囊肿去顶减压术的治疗方法及疗效.方法采用后腹腔镜下治疗单纯性肾囊肿患者41例.在全麻下行后腹膜腔途径,未行气囊扩张及未充分游离情况下根据影像结果腹腔镜找到并暴露肾囊肿,用电凝勾距离肾实质3 ～ 5mm切除囊壁.结果 41例手术均成功,无中转开放手术,无严重并发症发生.手术时间20～ 35 min,平均28min.术中出血量5～ 10mL,平均6 mL.术后1～2d拔除引流管,无出血及感染等并发症.术后住院4～8d,平均5.6d.术后随访3～24个月,平均13个月,无复发.结论腹腔镜下肾囊肿去顶减压术具有多种优点,更加减少手术时间,减少术中术后出血,恢复快,是外科治疗肾囊肿的理想术式.
목적 탐토후복강경하단순성신낭종거정감압술적치료방법급료효.방법 채용후복강경하치료단순성신낭종환자41례.재전마하행후복막강도경,미행기낭확장급미충분유리정황하근거영상결과복강경조도병폭로신낭종,용전응구거리신실질3 ～ 5mm절제낭벽.결과 41례수술균성공,무중전개방수술,무엄중병발증발생.수술시간20～ 35 min,평균28min.술중출혈량5～ 10mL,평균6 mL.술후1～2d발제인류관,무출혈급감염등병발증.술후주원4～8d,평균5.6d.술후수방3～24개월,평균13개월,무복발.결론 복강경하신낭종거정감압술구유다충우점,경가감소수술시간,감소술중술후출혈,회복쾌,시외과치료신낭종적이상술식.
Objectives To investigate the procedures and efficacy of retroperitoneal laparoscopic unroofing of renal cyst.Methods Laparoscopic unroofing was undertaken in 41patients with simple renal cyst under general anesthesia.Retroperitoneal approach,the cyst was identified,and the capsule wall removed,3 ～ 5 mm from the edge of the renal parenchyma,by using ultrasound knife.Results He laparoscopic procedures were successful in all patients.No conversion to open surgery was required,and no severe complications were met.The mean (range) duration of the operation was 28 (20 ～ 35) min.The mean (range) of blood loss was 6 (5 ～ 10) mL.The drainage tube was pulled out 1 ～ 2 days after operation without bleeding or infection.The mean (range) hospital stay was 5.6 (4 ～8) days.A mean (range) follow-up of 13 (3 ～ 24) months was conducted,and no recurrent case was found.Conclusions Laparoscopic deroofing for renal cyst is of many advantages,such as safe and effective,which is an ideal operation.