单孔三通道后腹腔镜去顶减压术治疗单纯性肾囊肿
卓文利1 , 徐廷昭1 , 蔡锦全1 , 吴卫真1 , 杨顺良1 , 谭建明1
1 南京军区福州总医院泌尿外科 350025 福州
Single-port with three tunnels retroperitoneal laparoscopic unroofing and decompression in the management of renal simple cysts
Zhuo Wenli1 , Xu Tingzhao1 , Chai Jinqian1 , Wu Weizheng1 , Yang Shunliang1 , Tan Jianming1
1 Department of Urology, Fuzhou General Hospital of PLA, Fuzhou,350025,China
摘要 目的: 总结单孔三通道后腹腔镜下囊肿去顶减压术治疗单纯性肾囊肿的经验,讨论手术适应证及手术要点。方法: 回顾分析22例经单孔三通道后腹腔镜肾囊肿去顶减压术治疗单纯性肾囊肿的临床资料。结果: 22例手术均获成功,无中转开放手术, 未发生严重并发症,随访6~24个月,没有复发病例。结论: 单孔三通道后腹腔镜肾囊肿去顶减压术治疗单纯性肾囊肿安全可行,患者创伤小、康复快。
关键词 :
后腹腔镜 ,
单孔腹腔镜手术 ,
肾囊肿去顶减压术
Abstract :Objective: The experience with single-port with three tunnels retroperitoneal laparoscopic unroofing and decompression of renal simple cyst was reported and the indications and operative procedure were discussed. Methods: The clinical data of 22 cases of renal simple cysts treated by single-port with three tunnels retroperitoneal laparoscopic unroofing and decompression were retrospectively analyzed from 2010 to 2011. Results: All patients were successful. Conversion from the laparoscopic procedure to laparotomy was never required.No severe complication occured. 22 cases were followed up for 6 months to 24months. No patient recurred. Conclusions: Single-port with three tunnels retroperitoneal laparoscopic unroofing and decompression is a safe,effective,and minimally invasive treatment for renal simple cyst.
Key words :
retroperitoneal laparoscopy
single-port laparoscopic surgery
decortication of renal cysts laparoscopic
收稿日期: 2013-08-20
基金资助: 福建省科技创新平台建设计划资助项目(2008J1006)
通讯作者:
谭建明,zwli1970@hotmail.com
引用本文:
卓文利, 徐廷昭, 蔡锦全, 吴卫真, 杨顺良, 谭建明. 单孔三通道后腹腔镜去顶减压术治疗单纯性肾囊肿[J]. 微创泌尿外科杂志, 2013, 2(5): 307-308.
Zhuo Wenli, Xu Tingzhao, Chai Jinqian, Wu Weizheng, Yang Shunliang, Tan Jianming. Single-port with three tunnels retroperitoneal laparoscopic unroofing and decompression in the management of renal simple cysts. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(5): 307-308.
链接本文:
http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1055.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2013/V2/I5/307
[1]Gaur DD. Laparoscopic operative retroperitoneoscopy.use of a new device. J Urol,1992,148(4):1137-1138. [2]叶锦,吴刚,张尧,等. 单孔三通道后腹腔镜下肾囊肿去顶减压术(附38例报告). 中国内镜杂志,2010,16 (10) :1097-1100. [3]Bartholomew TH, Solvis TL, Kroovand RL, et al.The son ographic valuation and management of simple renal cysts in children. J Urol, 1980, 123(5): 732-736. [4]张旭,叶章群,宋晓东,等. 腹腔镜与开放性囊肿去顶术的比较(附30例报告). 临床泌尿外科杂志, 2001, 16 (4) : 220-221. [5]Rane A, Kommu S, Eddy B, et al. Clinical evaluation of a novel laparoscopic port (R-port) and evolution of the single laparoscopic port procedure(SLiPP). J Endourol, 2007, 21(Suppl 1): A22-A23. [6]White WM, Goel RK, Kaouk JH. Single-port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcomes. Urology, 2009,73(6):1279-1282. [7]卓文利,王安喜,靳风烁,等.后腹腔镜去顶减压术治疗单纯性肾囊肿.局解手术学杂志,2007,16(4):232-233. [8]李文, 徐友明, 余建华, 等. 经后腹腔腹腔与开放性肾囊肿去顶术疗效比较. 临床泌尿外科杂志, 2002, 17(6):321-322.
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