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中华腔镜外科杂志(电子版) ›› 2017, Vol. 10 ›› Issue (03) : 163 -165. doi: 10.3877/cma.j.issn.1674-6899.2017.03.010

所属专题: 文献

论著

经自然腔道内镜手术内切开引流治疗肾盂旁囊肿
臧光辉1, 张治国1, 贺厚光1,(), 姜波1, 周荣升1, 李志刚1, 庞昆1, 马伟明1, 韩从辉1   
  1. 1. 221000 徐州市中心医院泌尿外科
  • 收稿日期:2017-04-29 出版日期:2017-06-30
  • 通信作者: 贺厚光
  • 基金资助:
    江苏省医学创新团队资助(CXTD2016-48)

Internal drainage of parapelvic cyst by pure natural orifice transluminal endoscopic surgery

Guanghui Zang1, Zhiguo Zhang1, Houguang He1,(), Bo Jiang1, Rongsheng Zhou1, Zhigang Li1, Kun Pang1, Weiming Ma1, Conghui Han1   

  1. 1. Department of Urology, Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221000, China
  • Received:2017-04-29 Published:2017-06-30
  • Corresponding author: Houguang He
  • About author:
    Corresponding author: He Houguang, Email:
引用本文:

臧光辉, 张治国, 贺厚光, 姜波, 周荣升, 李志刚, 庞昆, 马伟明, 韩从辉. 经自然腔道内镜手术内切开引流治疗肾盂旁囊肿[J/OL]. 中华腔镜外科杂志(电子版), 2017, 10(03): 163-165.

Guanghui Zang, Zhiguo Zhang, Houguang He, Bo Jiang, Rongsheng Zhou, Zhigang Li, Kun Pang, Weiming Ma, Conghui Han. Internal drainage of parapelvic cyst by pure natural orifice transluminal endoscopic surgery[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(03): 163-165.

目的

探讨经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)切开引流治疗肾盂旁囊肿的安全性及有效性。

方法

选取2016年4月至2017年1月于徐州市中心医院泌尿外科就诊的肾盂旁囊肿患者6例,术前均经CT及IVU确诊,利用输尿管软镜进入肾盂,230 μm钬激光圆形切除囊壁,使囊腔开窗引流至肾盂。采用配对t检验比较术前、术后囊肿最大直径的差异。

结果

6例患者均顺利完成手术并出院,未发生严重并发症。手术时间40~80 min,平均(56.22 ± 15.79)min;住院时间2~4 d,平均(2.56 ± 1.05)d;术后随访3~6个月,平均(4.12 ± 0.56)个月。5例患者的囊肿显著缩小(超过1/2),1例囊肿消失;术前和术后囊肿直径分别为4.50~8.70 cm、平均(6.95 ± 1.83)cm和0~2.5 cm、平均(1.42 ± 0.86)cm,差异有统计学意义(P< 0.01)。

结论

通过NOTES技术进行肾盂旁囊肿内切开引流,手术简单微创,安全可行、近期疗效确切,且具有恢复快、患者依从性高等优点,适合肾盂旁囊肿的治疗。远期疗效尚需进一步随访评估。

Objective

To probe the safety and effectiveness of internal drainage of parapelvic cyst by pure natural orifice transluminal endoscopic surgery(NOTES).

Methods

From Apr. 2016 to Jan. 2017, 6 patients with parapelvic cyst confirmed by CT and IVU in Xuzhou Central Hospital were enrolled in our research. Flexible ureteroscope was introduced into renal pelvis, and then the feeble cyst wall was vaporized by Ho-YAG to internal drain the cyst. The cyst diameters before and after operation was compared through paired t test.

Results

All procedures were completed successfully and patients discharged smoothly without serious complications. The operation time was from 40 to 80 min, mean (56.22 ± 15.79)min, the period of hospitalization was from 2 to 4 days, (2.56 ± 1.05)days. During 3-6 months follow-up, (4.12±0.56) months. It had been found that the diameter of cysts decreased significantly in 5 cases, and the other one had disappeared. The differences were statistical significance 4.50-8.70 cm, (6.95 ± 1.83) cm vs 0-2.5 cm, (1.42± 0.86)cm(P<0.01).

Conclusions

Internal drainage of parapelvic cyst by NOTES is simple, minitraumatic, safe and short-term effective, and has the advantages of recovery rapidly and high compliance of patient, it is a alterative choice to treat parapelvic cyst. The long-time efficacy needs further follow-up evaluation.

图1 肾盂旁囊肿患者的手术影像资料
1
郭峰,林耘,张龙洋,等. 输尿管镜钬激光肾盂旁囊肿内引流术(附26例报告)[J]. 国际泌尿系统杂志,2012, 32(6): 723-726.
2
Yu W, Zhang D, He X, et al. Flexible ureteroscopic management of symptomatic renal cystic diseases[J]. Journal of Surgical Research, 2015, 196(1): 118-123.
3
Devang D, Sunny M, Matthew P, et al. Percutaneous renal cyst ablation and review of the current literature[J]. Journal of Endourology Case Reports, 2016, 2(1): 11-13.
4
俞蔚文,张大宏,何翔,等. 输尿管软镜下钬激光切开内引流术治疗肾盂旁囊肿的临床研究[J]. 中华泌尿外科杂志,2013, 34(7): 489-492.
5
张国玺,徐辉,邹晓峰,等. 经尿道NOTES肾囊肿内切开引流术(附3例报告)[J]. 临床泌尿外科杂志,2013,28(2): 81-83.
6
王天刚,孟庆军,高瞻,等. 经腹腔腹腔镜下治疗肾盂旁囊肿28例[J/CD]. 中华腔镜外科杂志(电子版), 2012, 5(1): 47-49.
7
Chen JY, Chen YX, Liang WM, et al. The comparative study of CT guided and ultrasound guided percutaneous ethanol injection in the treatment of renal cyst[J]. Guangxi Medical Journal, 2005, 27(4): 500-501.
8
Skolarikos A, Laguna MP, Jean JMCH.Conservative and radiological management of simple renal cysts: a comprehensive review[J]. Bju International, 2012, 110(2): 170-178.
9
高健刚,孙小庆,侯四川,等. 肾盂旁囊肿的后腹腔镜手术选择(附39例报告)[J]. 临床泌尿外科杂志,2012,27(11): 807-808.
10
Kavoussi LR, Clayman RV, Mikkelsen DJ, et al. Ureteronephroscopic marsupialization of obstructing peripelvic renal cyst[J]. Journal of Urology, 1991, 146(2): 411-414.
11
Basiri A, Hosseini SR, Tousi VN, et al. Ureteroscopic management of symptomatic, simple parapelvic renal cyst[J]. Journal of Endourology, 2010, 24(4): 537-540.
12
Li EC, Hou JQ, Yang LB, et al. Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results[J]. Journal of Endourology, 2011, 25(1): 75-80.
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