摘要
Abstract
Objective To investigate the clinical effect and security of laparoscopic unroofing for simple kidney cysts. Methods 68 patients who met the inclusion criteria,observation group(n = 34,treated with laparoscopic unroofing) and control group(n = 34,treated with open unroofing). Intraoperative and postoperative situations were compared. Results Patients in the ob-servation grouphad shorter operation time and less intraoperatve blood loss than in the control group,with a statistically significant difference(P < 0. 05); patients in both groups were similar in intraoperatvely aspirated cyst fluid volume,and difference was not statistically significant(P > 0. 05). Exhaust time,diet recovery time,out-of-bed time,drainage tube removal time and postoperative-hospital stay were earlier in the observation group than in the control group [(20. 72 ± 4. 17)h vs. (38. 59 ± 5. 30)h,(24. 90 ± 4. 34)h vs. (47. 62 ± 6. 89)h,(46. 64 ± 5. 83) h vs. (70. 94 ± 6. 80) h,(59. 03 ± 5. 21) h vs. (80. 79 ± 7. 56) h,and(6. 31 ± 0. 77)d vs. (8. 95 ± 0. 83)d,respectively],with a statistically significant difference(P < 0. 05). The observation grouphad a simi-lar incidence of postoperative complications to the control group(5. 00% vs. 7. 50% ),as well as clinical efficacy,and both differ-ences were not statistically significant(P > 0. 05). Conclusion Treatment of simple kidney cysts with laparoscopic unroofing is as effective as with open unroofing clinically,but the former is one of the most ideal therapies for the disease owing to less trauma,rap-id postoperative recovery andhigh security.关键词
单纯性肾囊肿/去顶术/腹腔镜/开放性Key words
simple kidney cysts/unroofing/laparoscopic/open分类
医药卫生
