| 摘要: |
| 目的：探讨应用结扎夹固定预留囊壁与周边脂肪预防后腹腔镜肾囊肿去顶术后复发的疗效。方法：回顾性分析采用后腹腔镜肾囊肿手术患者 161 例，其中 86 例（A 组）术中在去除囊壁时预先留出部分囊壁，与肾周脂肪以结扎夹固定， 其余 75 例（B 组）进行单纯腔镜下囊肿去顶减压术，比较两组手术时间、术中出血量和术后住院时间、并发症、复发等情况。结果：所有病例手术均顺利完成，无术后继发出血、感染、尿漏等并发症；术后随访3~24 个月，平均 14.5 个月；两组在手术时间、出血量、住院时间上无统计学差异，A 组无囊肿复发，B 组 5 例复发。结论：采用后腹腔镜下肾囊肿去顶术， 联合结扎夹固定预留囊壁与周边脂肪，能有效预防术后复发。 |
| 关键词: 肾囊肿 后腹腔镜手术 结扎夹 复发 |
| DOI：10.3969/j.issn.1007-6948.2019.05.033 |
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| 基金项目: |
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| Clinical Controlled Observation of Retroperitoneal Laparoscopic Renal Cyst Unroofing and Retained Pericystic Fat Fixation |
| LI Bo-quan,KANG Sheng-hu,WANG Rui |
| Urology Department, 983 Hospital of the Joint Logistics Support Force of the Chinese People' s Liberation Army, Tianjin (300142), China |
| Abstract: |
| Objective To explore the clinical effect of the application of ligation clip to fix the wall and peripheral fat to prevent postoperative recurrence of laparoscopic renal cyst. Methods A retrospective analysis of 154 patients with laparoscopic renal cyst surgery was performed, 86 of whom (set to Group A) had a pre- removed portion during the removal of the cyst wall. The cyst wall and the perirenal fat were ?xed with a ligation clip, and the remaining 75 cases (set to B group) were treated with a single endoscopic cyst decompression. The operation time, intraoperative blood loss, postoperative hospital stay, complications, recurrence, etc of the two groups were compared. Results All the cases were successfully completed. There were no complications such as blood, infection and urinary leakage. The postoperative B-ultrasound and CT examinations were followed up for 3 to 24 months, with an average of 14.5 months. There was no signi?cant difference in operation time, bleeding volume, and hospitalization time between the two groups. There was no cyst recurrence in group A, and 5 patients in group B had recurrence. Conclusion The use of retroperitoneal laparoscopic renal cystectomy and combined with ligation clamp fixation of the wall and peripheral fat can effectively prevent postoperative recurrence. |
| Key words: Renal cysts retroperitoneal laparoscopic surgery ligation clip recurrence. |
