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Methods:Collect 8 cases who received laparoscopic treatment of parapelvic cyst,3 surgeries of which underwent transperitoneal route and 5 surgeries of which were conducted by transretroperitoneal route.

总结8例采用腹腔镜技术治疗肾盂旁囊肿的临床资料,其中3例经腹腔途径,5例经腹膜后途径。

Laparoscopic radical nephrectomy can be performed efficiently and effectively with the transperitoneal or the retroperitoneal approach,while the latter is more effective than the former for treatment of renal hilar and total operation time.

腹腔镜下经腹腔或腹膜后方式行肾癌根治术均有效,但后者在处理肾门和总的手术时间方面更快。

Laparoscopic treatment of parapelvic cyst in transperitoneal route or transretroperitoneal route has a lot of advantages,such as less trauma and bleeding,quicker recovery and no recurrence.

出血15~60ml,无并发症发生,术后住院4~5d,术后随访6~12个月,未复发。结论:经腹腔或腹膜后途径腹腔镜治疗肾盂旁囊肿具有创伤小,出血少,恢复快,无复发等优点。

The procedure was performed transperitoneally in 60 cases and in 44 patients it was done retroperitoneoscopically, based upon the tumor position or potential difficulties due to previous abdominal surgery.

60个经腹腔,由于肿块的位置或者因为以前的腹部外科手术使经腹腔存在潜在的困难,44个病人经腹膜后腹腔镜,54%的病人有其它疾病。

Methods The clinical data of 45 cases of simple cysts of kidney treated by retro-peritioneal laparoscopic unroofing were analyzed retrospectively.

回顾分析45例腹膜后腹腔镜手术治疗单纯性肾囊肿的临床资料。

Objective:To investigate the technique of creating three ports in retroperitoneal laparoscopy for unroofing of renal cyst.

目的:探讨三孔法行腹膜后腹腔镜肾囊肿去顶减压术的临床疗效。

Objective To explore the techniques and efficacy of retroperitoneal laproscopic unroofing of renal cyst.

目的 探讨腹膜后腔入路腹腔镜下肾囊肿去顶术的技术要点和手术疗效。

The ways of retroperitoneal laparoscopic renal cyst unroofing is more safe and superior than the way of laparoscopic renal cyst unroofing.

经腹膜后腔的腹腔镜肾囊肿去顶减压术是安全有效的,较经腹腔的方式更具有优越性。

Retroperitoneoscopic unroofing and decompression is a safe, effective and minimally invasive treatment for renal simple cyst. It should be the first choice for treatment of renal simple cyst.

结论经腹膜后腹腔镜肾囊肿去顶减压术治疗单纯性肾囊肿创伤小、康复快、安全有效,可作单纯性肾囊肿治疗的首选术式。

Objective:To summarize the intial experiences of retroperitoneoscopic unroofing of parapelvic cysts and to discuss the indication and operational main points.

作者:范明全,魏琳萍,叶永飞,李静波,郑士涛,陶锐目的:总结经腹膜后腹腔镜囊肿去顶术治疗肾盂旁囊肿的经验,讨论手术适应证和手术要点。

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