Clinical efficacy of macroscopic renal cyst combined with cutaneous lithography for renal cysts and renal or collateral calculi
- VernacularTitle:后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术治疗肾囊肿合并肾或输尿管上段结石的临床疗效观察
- Author:
Xiao ZHANG
1
;
Bo XIE
;
Qiwang MO
Author Information
1. 浙江省嵊州市人民医院外四科
- Keywords:
Retroperitoneal laparoscopy;
Renal cyst;
Percutaneous nephrolithotomy;
Upper renal or ureteral calculi
- From:
China Modern Doctor
2015;(14):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effects of retroperitoneal laparoscopy renal cyst unroofing combined with percutaneous nephrolithotomy for patients with renal cyst complicated with upper renal or ureteral calculi. Methods 50 patients with renal cyst complicated with upper renal or ureteral calculi who were diagnosed and treated in our hospital from September 2012 to September 2014 were selected. They were equally assigned to two groups. 25 patients in the control group were given the treatment of open surgery, and 25 patients in the observation group were given the treat-ment of retroperitoneal laparoscopy renal cyst unroofing combined with percutaneous nephrolithotomy. Amount of bleeding during the surgery, surgery time, postoperative recovery time of gastrointestinal functions, postoperative hospi-talization time, postoperative exercise time, calculi clearance rate, relapse rate of calculi or cyst, incidence rate of complications, VAS and other indices between the two groups were compared. Results Amount of bleeding during surgery, surgery time, postoperative recovery time of gastrointestinal functions, postoperative hospitalization time, post-operative exercise time and VAS in the observation group were all significantly lower than those in the control group, (P<0.05); calculi clearance rate in the observation group was significantly higher than that in the control group (P<0.05);selected patients were re-examined after three months, and calculi relapse rate and cyst relapse rate in the observation group were both lower than those in the control group, but the differences were not statistically significant (P>0.05). Incidence rate of infections in the observation group was lower than that in the control group (P<0.05). Conclusion Retroperitoneal laparoscopy renal cyst unroofing combined with percutaneous nephrolithotomy for patients with renal cyst complicated with upper renal or ureteral calculi has various advantages of less trauma, less amount of bleeding during surgery, less pain after surgery, higher clearance rate of cyst and calculi and lower relapse rate, which is worthy of clinical promotion and application.
