肾盂旁囊肿分型后选择不同入路行单孔腹腔镜治疗13例报告  

Single-port laparoscopy through different approaches for parapelvic cyst after determination of subtypes(Report of 13 cases)

作　　者：董忠[1] 吴喜链[1] 廖锦先[1] 吴锦标[1] 

机构地区：[1]惠州市中心人民医院泌尿外科,广东惠州516001

出　　处：《临床泌尿外科杂志》2015年第3期235-237,共3页Journal of Clinical Urology

摘　　要：目的：探讨肾盂旁囊肿临床分型后选择不同入路行单孔腹腔镜囊肿去顶减压术的安全性及可行性。方法：对13例肾盂旁囊肿患者在临床分型后选择不同入路行单孔腹腔镜囊肿去顶减压术进行治疗。结果：13例患者手术顺利,无中转开放手术者。手术时间35~65min,平均52min;术中出血量15~45ml,平均29ml。术后3~5天出院,平均住院4天。其中5例为肾蒂腹内侧型,8例为肾蒂背外侧型,手术时间分别为（53±5.2）min及（51±6.5）min,术中出血量分别为（28±4.6）ml及（30±5.7）ml,术后住院时间分别为（3.9±0.6）d及（4.0±0.5）d,各参数间差异均无统计学意义（P〉0.05）。结论：肾盂旁囊肿分型后选择不同入路行单孔腹腔镜治疗是安全、有效、可行的。Objective：To explore the feasibility and safety of single-port laparoscopic unroofing of the parapelvic cyst through different approaches according to the subtypes of the cyst.Method：The clinical data of 13 patients undergoing single-port laparoscopic unroofing of the parapelvic cyst through different approaches according to the subtypes of the cyst were retrospectively analyzed.Result：All operations were smooth and without open conversion.Mean operation time was 52（range,35-65）minutes,mean intraoperative blood loss was 29（range,15-45）ml,and mean postoperative hospitalization was 4（range,3-5）days.Five patients were renal pedicle ventromedial type and eight patients were dorsolateral type.respectively.Time of operation were（53±5.2）and（51±6.5）minutes respectively.Intraoperative blood loss were（28±4.6）and（30±5.7）ml respectively.Postoperative hospitalization were（3.9±0.6）and（4.0±0.5）days respectively.All of the above data were no statistical differences.Conclusion：It is feasible and safe for parapelvic cyst treated with single-port laparoscopy through different approaches according to the clinical typing.

关 键 词：肾盂旁囊肿 单孔腹腔镜术 临床分型 

分 类 号：R730.269[医药卫生—肿瘤]