经腹膜后途径腹腔镜治疗肾盂旁囊肿  

Laparoscopy by retroperitoneal access for the treatment of parapelvic cyst

作　　者：周祥福[1] 蔡育彬[1] 高新[1] 邱剑光[1] 温星桥[1] 

机构地区：[1]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华泌尿外科杂志》2005年第12期832-834,共3页Chinese Journal of Urology

摘　　要：目的探讨经后腹腔镜治疗肾盂旁囊肿的微创方法。方法总结经后腹腔镜下切除或去顶治疗肾盂旁囊肿12例资料。男7例,女5例。年龄34~75岁,平均52岁。左侧6例,右侧6例,囊肿大小2.8 cm×3.0 cm^2.5 cm×11.5 cm。结果12例患者手术均成功,前6例手术时间平均190 m in,后6例平均86 m in,术中出血平均25 m l,未出现肾蒂及肾盂损伤等并发症,平均住院9 d。11例随访7~31个月无复发,1例合并肾囊肿者术后2年B超检查囊肿复发。结论经腹膜后途径腹腔镜治疗肾盂旁囊肿具有创伤小,术中出血少,患者恢复快等优点,是肾盂旁囊肿的理想治疗方法。Objective To evaluate the minimally invasive technique of laparoscopy by retroperitoneal access for the treatment of parapelvic cyst. Methods Twelve patients （7 men and 5 women;mean age, 52 years;age range,34 -75 years） with parapelvic cysts were included. The cyst size ranged from 2.8 cm × 3.0 cm to 2.5 cm × 11.5 cm. The cysts were on the left side in 6 cases and on the right in another 6 cases. Laparoscopic resection or de-roofing of the parapelvic cysts by retroperitoneal access was performed in them. The relevant parameters of the procedures were summarized. Results The success rate of the operation was 100%. The mean operative time of the first 6 patients was 190 min, while it was 86 min in the rest 6 patients. The mean intraoperative blood loss was 25 ml. No injury to the kidney pedicle or pelvis occurred. The mean hospital stay was 9 d. In 11 patients, no recurrence of the cyst occurred during a follow-up of 7 - 31 months. Only 1 patient with concomitant renal cyst had recurrence of the cyst found by B-ultrasound 2 years after operation. Conclusions Therapeutic laparoscopy by retroperitoneal access has advantages of minimal trauma,less blood loss,rapid recovery and better effect, therefore it is the ideal treatment choice for parapelvic cyst.

关 键 词：肾盂旁囊肿 腹膜后腔 腹腔镜 

分 类 号：R699[医药卫生—泌尿科学]