【摘要】 目的:探讨腹腔镜下经腹腔和后腹膜腔两种路径治疗肾囊肿的疗效。方法:57例肾囊肿患者,采用经腹腔路径治疗19例,经后腹膜腔路径治疗38例,并观察其疗效。结果:57例手术均获成功,无中转开放手术。经腹腔途径手术时间45～160 min,平均90 min,术中出血10～25 mL,平均16 mL;经后腹膜腔途径手术时间40～90 min,平均55 min;术中出血15～35 mL,平均22 mL。术中、术后均无明显并发症发生。结论:经腹腔及经后腹膜腔腹腔镜行肾囊肿去顶减压术均安全有效,可根据患者的病情和术者的熟练程度决定手术路径。更多还原

【Abstract】 Objective: To explore the curative effect of the two approaches for cases with renal cyst through peritoneal and retroperitoneal surgery under a laparoscope.Methods: Fifty-seven patients were diagnosed as renal cyst,19 of which were operated on through peritoneal approach,and 38 through retroperitoneal approach.Results: All the operations were successfully performed.The operation took 45～160 min in peritoneal approach group(mean: 90min) with bleeding 10～25 mL(mean:16 mL) and 40～90 min in retroperitoneal approach group(mean: 55min) with bleeding 15～35 mL(mean:22 mL).No intraoperative and postoperative complications occurred in the hospital.Conclusion: Laparoscopic renal cyst unroofing is a safe and effective procedure.It is much better that the approach will be adopted according to the situation of patients and the practical standard of operators.更多还原