期刊文献+

经腹与后腹腔途径腹腔镜治疗肾囊肿

Laparoscopic decortication of renal cysts:a compoarison between the retroperitoneal and laparoscopic space approaches
分享 导出
摘要 目的:通过比较经腹与后腹腔两种入路治疗肾囊肿去顶减压术的临床疗效。方法:回顾分析经腹与后腹腔不同入路腹腔镜肾囊肿去顶减压术35例患者临床资料,比较两组手术时间、术中术后失血量、留管时间以及住院时间等指标。结果:35例患者手术均顺利完成,无中转开放、无副损伤、无术后漏尿及感染等并发症。经后腹腔入路组手术时间要优于经腹腔组(P<0.05),两组在术中术后出血、放置引流管时间、住院时间等方面比较差异无统计学意义(P>0.05)。检验提示:术者对经后腹腔入路组在术后并发症、饮食恢复、早期下床活动等方面满意度优于经腹腔组(P<0.05)。结论:腹腔镜下两种入路行肾囊肿去顶减压术各有所长,最终术式的选择需根据囊肿的部位、大小以及术者对掌握这两种手术入路的熟练程度等具体情况进行选择。 Objective:To compare and investigate the clinical effectiveness of laparoscopic decortication of renal cysts through the retroperitoneal and transperitoneal approache.Methods:We retrospctively analyzed the data of 35 cases of renal cysts from July 2010 to July 2014 in our hospitals,including 12 cases given the transperitoneal approach and 23 cases given the retroperitoneal approach.Preoperative characteristics,operation time,diet recovery,intraoperative blood loss and hospi-tal stay were documented.Results:All operations were successfully completed.There was no open surgery,no side injury and no complication.The retroperitoneal approach had shorter operation time (P <0.05).There was no significant differ-ence in intra-postoperative blood loss,time of drainage removal and hospital stay between the two groups.Pearson's chi-square test indicated a higher degree of surgeon's satisfaction to the operation procedure,the diet recovery,postoperative complication and postoperative activity in the retroperitoneal approach group than in the transperitoneal approach group (P<0.05).Conclusions:The retroperitoneal approach is a good clinical expiosion.Each procedure of laparoscopic decortication had its merits and demerits.The final decision is individualized and is,in fact,a consensus based upon the location,volume of the cysts as well as the surgeon's skill and proficiency of procedure,etc.
作者 李志清 王文刚 陈新忠 殷向辉 Li Zhiqing;Wang Weigan;Chen Xinzhong;Yin Xianghui;Department of Urology,Yan’an Hosptal of Traditional Chinese Medicine
出处 《微创泌尿外科杂志》 2015年第4期215-217,共3页
关键词 腹腔镜肾囊肿去顶术 肾囊肿 经腹腔 经腹膜后腔 laparoscopic decortication renal cysts retroperitoneal approach transperitoneal approache
  • 相关文献

参考文献5

  • 1张旭主编.泌尿外科腹腔镜手术学[M]. 人民卫生出版社, 2008 被引量:2
  • 2V. A. Constantinides,I. Christakis,P. Touska,F. F. Palazzo.Systematic review and meta‐analysis of retroperitoneoscopic versus laparoscopic adrenalectomy[J]. Br J Surg . 2012 (12) 被引量:1
  • 3Agarwal Mayank Mohan,Hemal Ashok K.Surgical management of renal cystic disease. Current urology reports . 2010 被引量:1
  • 4Bartholomew T H,Slovis T L,Kroovand R L,Corbett D P.The sonographic evaluation and management of simple renal cysts in children. The Journal of Urology . 1980 被引量:2
  • 5Ryu Dong-Soo,Oh Tae-Hee.Laparoscopic decortication of large renal cysts: a comparison between the transperitoneal and retroperitoneal approaches. Journal of laparoendoscopic & advanced surgical techniques. Part A . 2009 被引量:1

共引文献2

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈