Hem-o-lock夹在腹膜后腹腔镜下肾盂旁囊肿去顶术中疗效评估.docVIP

Hem-o-lock夹在腹膜后腹腔镜下肾盂旁囊肿去顶术中疗效评估 　　【摘要】目的：探讨Hem-o-lock夹在后腹腔镜肾盂旁囊肿去顶术中的疗效。方法：7例肾盂旁囊肿患者行后腹腔镜肾盂旁囊肿去顶+囊壁两侧各夹Hem-o-lock一枚。结果：7例手术均成功；手术时间平均60 min；术中出血量平均30 ml；术后住院时间平均4.2 d；7例术后随访6~24个月，均无复发。结论：后腹腔镜肾盂旁囊肿去顶+囊壁两侧各夹Hem-o-lock一枚可有效减少肾盂囊肿复发，且手术操作安全简单。 【关键词】肾盂旁囊肿；后腹腔镜；Hem-o-lock The Efficacy Assessment of Hem-o-lock in Retroperitoneal Laparoscopic Parapelvic Cyst Unroofing Operation/ZHAO Hua，ZHOU Jin-bo，YE Hai-zhen，et al.// Medical Innovation of China，2013，10（20）：119-120 【Abstract】Objective：To assess the efficacy of Hem-o-lock in retroperitoneal laparoscopic parapelvic cyst unroofing operation. Method：The retroperitoneal laparoscopic parapelvic cyst unroofing operation and griping each side of the wall by one Hem-o-lock had been operated in seven cases of parapelvic cyst.Result：Seven cases were operated successfully.The average time of all operations was 60 minutes.The average bleeding of all operations was 30 ml.The average time of inpatient after operation was 4.2 days.The time of postoperative follow-up was from 6 to 24 months and there was no recurrence in the seven cases.Conclusion：The retroperitoneal laparoscopic parapelvic cyst unroofing operation and griping each side of the wall by one Hem-o-lock could effectively reduce the rate of recurrence of cyst and safe and easy operating. 【Key words】Parapelvic cyst；Retroperitoneal Laparoscopy；Hem-o-lock First-author’s address：The Peoples Hospital of Pingxiang，Pingxiang 337000，China doi：10.3969/j.issn.1674-4985.2013.20.059 随着人民生活水平提高，体检普及及医疗水平的提高，肾盂旁囊肿检出率及治疗率越来越高。治疗方法各有所长，现将2010年6月-2012年6月入住本院的7例肾盂旁囊肿患者行后腹腔镜肾盂旁囊肿去顶+囊壁两侧各夹Hem-o-lock一枚的疗效观察报道如下。 1资料与方法 1.1一般资料本组资料7例，男4例，女3例，年龄28~56岁，平均38岁。左侧3例，右侧4例。临床表现腰部胀痛不适4例，其中1例伴镜下血尿。3例常规体检B超发现。2例伴高血压，血压在150~178/80~110 mm Hg。7例术前均行B超、双肾平扫+增强CT、静脉尿路造影、肾功能及尿常规检查。囊肿直径在4~6 cm，突破肾实质2~3.5 cm，平均3 cm，且均不与肾脏集合系统相通，7例均有肾盂压迫变形及肾盂肾盏扩张，肾盏扩张深度8~20 mm，平均11 mm。总肾功能均正常，尿常规提示1例有镜下血尿，余均正常。 1.2手术方式气管插管全麻下，取截石位，留置患侧输尿管F5输尿管导管及F16气囊导尿管，改健侧卧位，抬高腰桥。建立标准腹膜后操作空间，2例采用超声刀，5例采用电凝沟清理腹膜外脂肪，充分暴