腹腔镜下肾囊肿去顶和囊肿壁反转减压术的10年经验总结  

Ten years’ experiences of laparoscopic decortication with edge eversion or conventional laparoscopic decortication for renal cyst

作　　者：张嘉鹏[1] 张彩霞[1] 刘皓[1] 董文[1] 范新祥[1] 黄立[1] 朱定军[1] 于浩[1] 黄海[1] 刘成[1] 姚友生[1] Zhang Jiapeng;Zhang Caixia;Liu Hao;Dong Wen;Fan Xinxiang;Huang Li;Zhu Dingjun;Yu Hao;Huang Hai;Liu Cheng;Yao Yousheng(Department of Urology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科

出　　处：《中华腔镜泌尿外科杂志（电子版）》2019年第3期179-182,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨腹腔镜下囊肿壁反转减压术的临床应用价值。方法回顾性分析我院2008年4月至2018年1月收治的185例单纯性肾囊肿患者病例资料,分为囊肿壁反转减压组(82例)及普通去顶减压组(103例),对比两种手术方式的患者在术前及术中资料、术后引流液颜色及术后复发率方面的差异。结果所有185例患者均成功完成手术,无中转开放手术,无术中及术后输血,无严重手术并发症。两组患者在性别、年龄、囊肿最大内径、手术时间、术中出血量、术后出院天数方面差异无统计学意义(P>0.05)。普通去顶减压组术后发生引流液颜色较红的情况及影像学囊肿复发率均高于囊肿壁反转减压术组,且差异具有统计学意义(P<0.05)。结论对比传统的普通去顶减压术式,应用囊肿壁反转减压术治疗单纯性肾囊肿具有安全性高、可行性好、复发率低的优势,值得进一步推广应用。Objective To present the experience of our novel technique in laparoscopic management of simple renal cyst. Methods From April 2008 to January 2018, 185 consecutive patients in our hospital underwent laparoscopic decortication with edge eversion or conventional laparoscopic decortication for renal cyst. Preoperative data, intraoperative data, postoperative recurrence rate and the rate of postoperative red fluid were compared between these two groups. Results Operations of all 185 cases were done successfully, no major perioperative complications were found. No significant difference in sex ratio, age, size of renal cyst, operation time, intraoperative bleeding volume and postoperative hospital stay was found between the two groups (P>0.05). The rate of postoperative red fluid and postoperative recurrence rate in conventional laparoscopic decortication group were higher than those of the laparoscopic decortication with edge eversion group (P<0.05). Conclusion Compare with conventional laparoscopic decortication of renal cyst, our novel technique of laparoscopic decortication with edge eversion is a feasible, safe and effective treatment for simple renal cyst with durable response and less morbidity.

关 键 词：腹腔镜 肾囊肿 去顶术 反转 

分 类 号：R699.2[医药卫生—泌尿科学]