肾囊肿腹腔镜手术后复发原因分析与对策

目的:分析肾囊肿腹腔镜手术后复发原因并提出相应对策。方法:回顾性分析我院2006年1月至2011年1肿)的诊疗过程和复发情况,分析复发原因并提出需要重视的相关技术细节。结果:325例病人复发28例,其中囊壁游离不充分,囊壁切除不够7例,占复发病例25.0%;手术清除2月采用腹腔镜技术治疗的325例单纯性肾囊肿患者(412个肾囊不够16例,占复发病例57.1%;术后尿性囊肿形成误判为囊肿复发2例,占复发病例7.1%,其他3例,占10.7%。结论:腹腔镜技术是一种安全、有效的单纯性肾囊肿治疗方法,选择合理的手术入路,同时对某些技术环节合理运用和改良,有助于降低术后复发率。

Causative Analysis and Countermeasures of Recurrence of Renal Cyst after Laparoscopic Operation

Objective:To analyse the causes of renal cyst recurrence after laparoscopic operation and put forward corresponding countermeasures.Methods:The recurrent conditions, process of diagnosis, and treatment of 325 patients with simple renal cysts(412 renal cyst) who were managed by retroperitoneal laparoscopic techniques from Jan 2006 to Dec 2011 were discussed by retrospective analysis. Recurrent reasons were analysed and related technical details were put forward.Results:There were 28 cases of recurrence in the postoperative following-up. 7 cases were cystic wall- dissociated or resected insufficiently, accounting for 25%of the cases; 16 cases were nidus removal insufficiency, accounting for 57.1% of the cases; 2 cases were urinoma which were mistaken for renal cyst, accounting for 7.1% of the cases; the other 3 cases,accounting for 10.7% of the cases.Conclusion:Laparoscopic technique is a kind of effective and safe treatment for renal cysts. To choose a proper surgical approach, and to improve the operative techniques will contribute to the reduction in recurrence rate.