摘要
目的评价单中心单孔以及传统后腹膜腔镜下肾内去顶术治疗肾盂旁囊肿的疗效。方法采用对照研究,以2015年2月-2016年4月,医院泌尿外科收治的后腹膜腹腔镜手术肾内肿去顶术治疗的肾盂囊肿患者作为研究对象,选择单孔腹腔镜手术治疗患者21例纳入单孔组,接受传统的腹腔镜手术治疗82例纳入传统组,观察比较两组患者的手术时间、出血量、住院时间、切口长度、卧床时间情况。结果单孔组手术时间、出血量高于传统组,单孔组切口长度、卧床时间低于传统组,差异有统计学意义（P〈0.05）,两组住院时间差异无统计学意义（P〉0.05）;单孔组与传统组术中并发症、中转开放、术中创伤、术后并发症、复发、患者满意率差异无统计学意义（P〉0.05）;随访期间均未见复发例;术后48h,组内对比单孔组、传统组CRP、ET高于术前,组间对比单孔组低于传统组,差异有统计学意义（P〈0.05）。结论单孔与传统后腹膜腔镜下肾囊肿去顶术治疗肾盂旁囊肿均具有良好的效果,但是单孔后腹膜腔镜下肾囊肿去顶术对患者造成的手术创伤更小,患者卧床时间更短,同时,单孔后腹膜腔镜下肾囊肿去顶术要求较高,手术时间更长,术中出血量更多,日后随着辅助技术的发展,手术时间和术中出血量也将得到有效控制。
Objective To evaluate the curative effect of single center single hole and conventional peritoneal laparoscopic renal cyst unroofing in treatment of parapelvic cyst. Methods Patients with renal cyst treated with retroperitoneal laparoscopic surgery from February 2015 to April 2016 were selected as the study objects. 21 cases treated with single port laparoscopic surgery were divided into single hole group, and 82 cases treated with traditional laparoscopic surgery were divided into traditional group. Operation time, blood loss, length of stay, length of incision, bed time of the two groups were observed. Results Operation time and bleeding volume of single hole group were higher than those of traditional group, incision length and bed time of single hole group were lower than those of traditional group, and the difference was statistically significant（P 〈 0.05）, the two groups had no statistically significant difference in hospitalization time（P 〉 0.05）. There was no significant difference between the single hole group and the conventional group in the complications, the time of transfer, intraoperative trauma, postoperative complications, recurrence, and patient satisfaction（P 〉 0.05）. No recurrence was found during follow-up. On postoperative 48 h, for intra group comparison, the CRP and ET in single hole group and traditional group were higher than those before operation, for comparison between groups, single hole group was lower than the traditional group, and the difference was statistically significant（P 〈 0.05）. Conclusion Both single hole and conventional peritoneal laparoscopic renal cyst unroofing in the treatment of parapelvic cyst have good effect. But the single hole retroperitoneal laparoscopic renal cyst unroofing has smaller surgical trauma, shorter bed time. Meanwhile, single hole retroperitoneal laparoscopic renal cyst unroofing has higher demand,longer operation time, more intraoperative blood loss. With the development of assistive technology, operative time and intraoperative blood loss will also be effectively controlled.
出处
《中国医药科学》
2016年第24期207-210,共4页
China Medicine And Pharmacy
关键词
肾盂旁脓肿
腹腔镜
单孔腹腔镜
肾囊肿去顶术
Abscess of the renal pelvis
Laparoscope
Single port laparoscopy
Renal cyst resection
