Laparoscopic decortication of simple renal cysts: a comparison between the retroperitoneal and enlarged perirenal space approaches
Wang Rong1,2, Zhang Xiaoping1, Chen Weijun2
1Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China; 2Department of Urology, Jintan People's Hospital, Affiliated to Jiangsu University
Abstract：Objective:To compare and investigate the clinical effectiveness of laparoscopic decortication of simple renal cysts through the retroperitoneal and enlarged perirenal space approaches.Methods:We retrospectively analyzed the data of 45 patients with simple renal cysts from May 2010 to December 2012 in our hospitals. A total of 19 patients underwent laparoscopic decortication thought enlarged perirenal space approaches and 26 patients underwent routine retroperitoneal approach. Preoperative characteristics, intraoperative blood loss, operation time, time of drainage removal, postoperative hospital stay and the degree of patient's satisfaction to the operation procedure were documented.Results:All operations were successfully completed. No significant complication was noticed. The laparoscopic decortication through enlarge perirenal space approach had shorten operation time (P＜0.05). There was no significant difference in preoperative characteristics, intraoperative blood loss, time of drainage removal and postoperative hospital stay between the two groups.Compared to the enlarged perirenal space approaches group, Pearson's chi-square test indicated a higher degree of surgeon's satisfaction to the operation procedure was noted in the retroperitoneal approach group (P＜0.05).Conclusions:The laparoscopic decortication through enlarge perirenal space approach is a good clinical explosion. Each procedure of laparoscopic decortication had its merits and demerits. The final decision is individualized and is, in fact, a consensus based upon the location of the cysts as well as the surgeon's skill and proficiency of procedure and so on.
王荣, 章小平, 陈伟军. 经后腹腔两种不同入路腹腔镜治疗单纯性肾囊肿[J]. 微创泌尿外科杂志, 2013, 2(3): 181-184.
Wang Rong, Zhang Xiaoping, Chen Weijun. Laparoscopic decortication of simple renal cysts: a comparison between the retroperitoneal and enlarged perirenal space approaches. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(3): 181-184.
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