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目的 :探讨腹膜后腹腔镜肾囊肿去顶术的适应证和术中处理要点。方法 :对 8例肾囊肿患者经腰部腹膜后入路行腹腔镜肾囊肿去顶术。结果 :7例手术成功 ,1例转为开放性手术。术后住院 2～ 4d,平均 2 .3d。结论 :腹膜后腹腔镜肾囊肿去顶术损伤小 ,出血少 ,术后住院时间短 ,康复快。早期开展本手术时 ,适应证的选择较为重要 ,必要时应及时中转术式。
Objective: To investigate the indications and intraoperative treatment of retroperitoneal laparoscopic renal cyst debridement. Methods: Eight patients with renal cysts underwent retroperitoneal laparoscopic renal cyst debridement. Results: Seven cases were successful and one case was open surgery. Postoperative hospital 2 ~ 4d, an average of 2.3d. Conclusion: Retroperitoneal laparoscopic renal cyst debridement is less invasive, less bleeding, shorter postoperative hospital stay and faster recovery. In the early stage of this operation, the choice of indications is more important, if necessary, transit surgery should be promptly.