临床小儿外科杂志2024，Vol.23Issue(9)：857-860,4.DOI:10.3760/cma.j.cn101785-202308026-010
腹腔镜下肾囊肿去顶术治疗儿童单纯性肾囊肿的临床研究
Clinical study on laparoscopic unroofing for the treatment of simple renal cyst in children
摘要
Abstract
Objective To investigate the clinical efficacy of laparoscopic unroofing for the treatment of simple renal cysts in children.Methods A retrospective analysis was conducted on the clinical data of 44 children with simple renal cysts treated at the Department of Urology,Hunan Children's Hospital,from February 2017 to September 2022.The patients were divided into three groups based on the location of the renal cysts:upper pole group(22 cases),middle pole group(11 cases),and lower pole group(11 cases).All 44 cases were treated with laparoscopic unroofing.Intraoperative blood loss,postoperative drainage time,postoperative hospital stay,and cyst recurrence were compared among the three groups.Results Postoperatively,1 child ex-perienced urinary leakage.There were no statistically significant differences among the three groups in terms of intraoperative blood loss,postoperative drainage time,and postoperative hospital stay(P＞0.05).During the follow-up period of approximately six months,the overall effectiveness rate was 72.7％(32/44),with a recur-rence rate of 27.3％(12/44).Specifically,the upper pole group had an effectiveness rate of 63.6％(14/22)and a recurrence rate of 36.4％(8/22);the middle pole group had an effectiveness rate of 72.7％(8/11)and a recurrence rate of 27.3％(3/11);the lower pole group had an effectiveness rate of 90.9％(10/11)and a recurrence rate was 9.1％(1/11).Although the recurrence rate of upper pole cysts was higher than that of middle and lower pole cysts,the difference was not statistically significant(P＞0.05).Conclusions Lap-aroscopic unroofing is effective for treating middle and lower pole renal cysts in children,while the postoperative recurrence rate for upper pole cysts is relatively higher.关键词
肾囊肿/腹腔镜检查/外科手术/儿童Key words
Renal Cysts/Laparoscopy/Surgical Procedures,Operative/Child引用本文复制引用
童方运,赵夭望,刘李,何天衢,王智..腹腔镜下肾囊肿去顶术治疗儿童单纯性肾囊肿的临床研究[J].临床小儿外科杂志,2024,23(9):857-860,4.基金项目
湖南省儿童泌尿生殖疾病临床医学研究中心(2021SK4017) （2021SK4017）
湖南省卫生健康委科研计划项目(B202304057979) Clinical Research Center for Pediatric Genitourinary Disease in Hunan Province(2021SK4017) （B202304057979）
Scientific Research Project of Health Commission of Hunan Province(B202304057979) （B202304057979）
