Abstract：Objective: To compare the clinical effect of flexible ureteroscope incision and drainage and retroperitoneoscopic unroofing. Methods: We retrospectively analyzed the data of 45 patients with periplvic cyst adjacent to the renal collecting system from March 2015 to March 2016. Patients were divided into flexible ureteroscope group (incision and drainage by the flexible ureteroscope) and retroperitoneoscopic group (retroperitoneoscopic unroofing). The time of operation, hospital stay after operation, hospitalization expenture and postoperative follow-up outcomes were observed. Results: The operations were performed successfully in both two groups, there were no obvious complications after the operation, and the renal cysts disappeared or were significantly reduced after surgery. During a follow-up period of 6-12 months, the renal cyst did not recurred in the two groups. There were statistically significant differences (P<0.05) between the two groups in the aspect of the time of operation, hospital stay after operation, and hospital expenture. Conclusions: The flexible ureteroscope incision and drainage method is minimally invasive, safe, effective, and worthy of clinical promotion.
[1] Ozcan L, Polat EC, Onen E, et al. Comparison between Retroperitoneal and Transperitoneal Approaches in the Laparoscopic Treatment of Bosniak Type I Renal Cysts: A Retrospective Study. Urol J, 2015,12(4):2218-2222.
[2] Gadelmoula M, Kurkar A, Shalaby MM. The laparoscopic management of symptomatic renal cysts: A single-centre experience. Arab J Urol, 2014,12(2):173-177.
[3] 李梦珂,易成智,杨小明,等.输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿的疗效分析:附视频.中华腔镜泌尿外科杂志(电子版),2015,9(2):34-36.
[4] Agarwal M, Agrawal MS, Mittal R, et al. A randomized study of aspiration and sclerotherapy versus laparoscopic deroofing in management of symptomatic simple renal cysts. J Endourol, 2012,26(5):561-565.
[5] Glassberj KI. Renal dysplasia and cystic disease of the Kidney. In: Walsh PC, Retik AB, Vaughan ED, et al, eds. Campb-ell's Urology, Philadelphia: Saunders,1998:1757-1813.
[6] Choi JD. Clinical characteristics and long-term observation of simple renal cysts in a healthy Korean population. Int Urol Nephrol, 2016,48(3):319-324.
[7] Pinheiro T, Sepulveda F, Natalin RH, et al. Is it safe and effective to treat complex renal cysts by the laparoscopic approach? J Endourol, 2011,25(3):471-476.
[8] Plas EG, Hübner WA. Percutaneous resection of renal cysts: a long-term followup. J Urol, 1993,149(4):703-705.
[9] Cicione A, Autorino R, Laguna MP, et al. Three-dimensional Technology Facilitates Surgical Performance of Novice Laparoscopy Surgeons: A Quantitative Assessment on a Porcine Kidney Model. Urology, 2015,85(6):1252-1256.
[10] Bansal RK, Kapoor A. Laparoscopic nephrectomy for massive polycystic kidney disease: Updated technique and outcomes. Can Urol Assoc J, 2014,8(9/10):341-345.
[11] Li EC, Hou JQ, Yang LB, et al. Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results. J Endourol, 2011, 25(1):75-80.
