目的:评估经后腹腔镜与开放肾囊肿去顶减压术的临床价值。方法:回顾性调查四川大学华西医院2004年4月至2008年4月468例经后腹腔镜肾囊肿去顶减压术(A组)和2003年4月至2008年4月121例开放肾囊肿去顶减压术(B组)的临床资料并进行比较,统计分析两种术式术前,术中和术后的数据资料,比如性别、年龄、侧别、囊肿直径、手术时间、术中出血量、术后下床时间、肛门排气时间、引流管拔除时间、术后住院天数、总住院天数等。开放手术均行肋缘下切口,经后腹腔镜均行腰部常规3孔穿刺。结果:所有手术均获成功。A组手术时间5318±095分,术中出血628±033mL,术后肛门排气时间2518±030h,术后下床时间3102±022h,引流管拔除时间2715±020h,术后住院490±007d,总住院895±012d;B组手术时间6772±148分,术中出血5116±077mL,术后肛门排气时间2691±033h,术后下床时间4331±103h,引流管拔除时间2963±079h,术后住院788±018d,总住院125±029d。术前两组基线对比无统计差异。A组手术时间、术中出血量、术后下床时间、总住院天数和术后住院天数均优于B组,差异具有统计学意义(P lt;001)。术后肛门排气时间及引流管拔除时间无显著性差异(P gt;005)。结论〓:后腹腔镜肾囊肿去顶术在手术时间、术中出血量和术后下床时间等方面明显优于开放手术。
Citation：
ZHU Yuchun,ZENG Guojun,RAO Cheng,et al. Comparison of Retroperitoneal Laparoscopic and Open Decortication of Renal Cysts. West China Medical Journal, 2009, 24(5): 1100-1102. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
|
| 2. |
〖CM(5.65mm〗[8]〖CM)〗BINSALEH S, LUKE P P, NGUAN C, et al. Comparison of laparoscopic and open nephrectomy for adult polycystic kidney disease: operative challenges and technique[J]. Can J Urol,2006,13(6):33403345.
|
| 3. |
曾国军,饶晟,朱育春.经腹膜后腹腔镜手术治疗468例单纯肾囊肿疗效观察[J].华西医学,2008,23(6):12771279.
|
| 4. |
杨勇飞,梁朝朝,郝宗耀,等.开放与后腹腔镜肾囊肿去顶术的比较[J].安徽医科大学学报,2007,42(3):343344.
|
| 5. |
侯小飞,马潞林,黄毅,等.腹膜后腹腔镜手术治疗35例肾囊肿[J].中国微创外科杂志,2005,5(1):6768.
|
| 6. |
吴斌,袁军,赵虎,等.后腹腔镜下肾囊肿去顶减压术127例报告[J].南京医科大学学报(自然科学版),2007,27(11):13121313.
|
| 7. |
蒋振华,杨林斌,俞增福,等.肾囊肿性疾病的后腹腔镜手术治疗[J].中国内镜杂志,2008,14(3):313317.
|
| 8. |
HOU X F, MA L L, HUANG Y, et al. Retroperitoneal laparoscopic operations in the treatment of renal cyst: report of 36 cases [J]. Chinese Journal Minimally Invasive Surgery,2005,5(1):6768.
|
| 9. |
ZHENG Y, GAN YM, YAN JY, et al. Retroperitoneal laparoscopic operations in the treatment of renal cyst: report of 26 cases[J]. China Journal of Endoscopy,2007,13(4):419420,423.
|
| 10. |
SHIRAISHI K, EGUCHI S, MOHRI J, KAMIRYO Y. Laparoscopic decortication of symptomatic simple renal cysts: 10year experience from one institution[J]. BJU Int,2006,98(2):405408.
|
| 11. |
LIFSON B J, TEICHMAN J M, HULBERT J C. Role and long term results of laparoscopic decortication in solitary cystic and autosomal dominant polycystic kidney disease[J]. J Urol,1998,159(3):702705,discussion 705706.
|
- 1.
- 2. 〖CM(5.65mm〗[8]〖CM)〗BINSALEH S, LUKE P P, NGUAN C, et al. Comparison of laparoscopic and open nephrectomy for adult polycystic kidney disease: operative challenges and technique[J]. Can J Urol,2006,13(6):33403345.
- 3. 曾国军,饶晟,朱育春.经腹膜后腹腔镜手术治疗468例单纯肾囊肿疗效观察[J].华西医学,2008,23(6):12771279.
- 4. 杨勇飞,梁朝朝,郝宗耀,等.开放与后腹腔镜肾囊肿去顶术的比较[J].安徽医科大学学报,2007,42(3):343344.
- 5. 侯小飞,马潞林,黄毅,等.腹膜后腹腔镜手术治疗35例肾囊肿[J].中国微创外科杂志,2005,5(1):6768.
- 6. 吴斌,袁军,赵虎,等.后腹腔镜下肾囊肿去顶减压术127例报告[J].南京医科大学学报(自然科学版),2007,27(11):13121313.
- 7. 蒋振华,杨林斌,俞增福,等.肾囊肿性疾病的后腹腔镜手术治疗[J].中国内镜杂志,2008,14(3):313317.
- 8. HOU X F, MA L L, HUANG Y, et al. Retroperitoneal laparoscopic operations in the treatment of renal cyst: report of 36 cases [J]. Chinese Journal Minimally Invasive Surgery,2005,5(1):6768.
- 9. ZHENG Y, GAN YM, YAN JY, et al. Retroperitoneal laparoscopic operations in the treatment of renal cyst: report of 26 cases[J]. China Journal of Endoscopy,2007,13(4):419420,423.
- 10. SHIRAISHI K, EGUCHI S, MOHRI J, KAMIRYO Y. Laparoscopic decortication of symptomatic simple renal cysts: 10year experience from one institution[J]. BJU Int,2006,98(2):405408.
- 11. LIFSON B J, TEICHMAN J M, HULBERT J C. Role and long term results of laparoscopic decortication in solitary cystic and autosomal dominant polycystic kidney disease[J]. J Urol,1998,159(3):702705,discussion 705706.
