Tong Fangyun,Zhao Yaowang,Liu Li,et al.Clinical study on laparoscopic unroofing for the treatment of simple renal cyst in children[J].Journal of Clinical Pediatric Surgery,2024,(09):857-860.[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
- Title:
- Clinical study on laparoscopic unroofing for the treatment of simple renal cyst in children
- Keywords:
- Renal Cysts; Laparoscopy; Surgical Procedures; Operative; Child
- 摘要:
- 目的 探讨腹腔镜下肾囊肿去顶术治疗儿童单纯性肾囊肿的临床疗效。方法 回顾性分析2017年2月至2022年9月湖南省儿童医院泌尿外科收治的44例单纯性肾囊肿患儿临床资料,根据肾囊肿部位的不同分为肾上极组、肾中极组、肾下极组3组,其中肾上极组22例、肾中极组11例、肾下极组11例。44例均采用腹腔镜下肾囊肿去顶术治疗。对3组术中出血量、术后引流时间、术后住院时间、囊肿复发情况进行对比分析。结果 44例中,术后1例出现尿外渗。3组术中出血量、术后引流时间、术后住院时间差异无统计学意义(P>0.05),术后随访6个月左右,3组患儿总体有效率为72.7%(32/44),复发率为27.3%(12/44);其中肾上极组有效率为63.6%(14/22),复发率为36.4%(8/22);肾中极组有效率为72.7%(8/11),复发率为27.3%(3/11);肾下极组有效率为90.9%(10/11),复发率为9.1%(1/11)。肾上极囊肿复发率略高于肾中极、肾下极部位囊肿,但差异无统计学意义(P>0.05)。结论 腹腔镜下肾囊肿去顶术治疗肾中极及下极囊肿效果良好,肾上极囊肿的术后复发率相对偏高。
- 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 experienced 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 recurrence 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 Laparoscopic 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.
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备注/Memo
收稿日期:2023-8-21。
基金项目:湖南省儿童泌尿生殖疾病临床医学研究中心(2021SK4017);湖南省卫生健康委科研计划项目(B202304057979)
通讯作者:赵夭望,Email:yw508@xinlang.com