Abstract：Objective: To evaluate the clinical significance of laparoscopic renal cyst decortication, open renal cyst decortication and renal cyst puncture sclerotherapy. Methods: The clinical data of 85 patients with simple renal cyst were analyzed retrospectively. There were 53 males and 32 females. The mean age was 43 (22-72) years old. The average diameter of renal cysts was 6.8 (4.8-13.2) cm. Of all the 85 patients, 30 cases underwent laparoscopic renal cyst decortication, 30 cases underwent open renal cyst decortication and 25 cases underwent percutaneous renal cyst sclerotherapy. The mean operative time, blood loss, post-operative hospital stay, postoperative drainage time and recurrence rate were compared between different surgical groups. Results: All the 85 patients underwent cyst decortication successfully without any obvious complication during or after surgery. The recurrence rate of laparoscopic or open surgery group was lower than in the puncture sclerotherapy group, accounting for 3.3%, 0% and 24%, respectively (P＜0.05). Compared with open surgery group, the average blood loss, postoperative drainage time and postoperative hospital stay were less than in the laparoscopic and open surgery group (P＜0.05). There was no significant difference in the operative time between different surgery groups. Conclusions: All the 3 surgical procedures could get quite good results with different advantages in decortication of simple renal cyst. In general, laparoscopic renal cyst decortication is relatively better than the other 2 procedures with less blood loss, postoperative drainage time and postoperative hospital stay. Nevertheless, the final surgical choice should be made according to cyst characteristics and comprehensive assessment of the patient.
李浩,米庆辉,何永俊,贾锐. 单纯性肾囊肿不同治疗方法的对比研究[J]. 微创泌尿外科杂志, 2014, 3(5): 271-273.
Li Hao,Mi Qinghui,He Yongjun,Jia Rui. A comparative study on the results of simple renal cyst decortication between 3 different approaches. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(5): 271-273.
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