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[儿童肾单纯性囊肿的腹腔镜手术]

[Laparoscopic operations for simple cysts of kidneys at children].

作者信息

Poddubnyĭ I V, Faĭzullin A K, Sazonov A N, Dronov A F, Al'-Mashat N A, Tolstov K N, Kozlov M Iu, Fedorova E V

出版信息

Khirurgiia (Mosk). 2007(6):47-52.

Abstract

Results of treatment of 62 children aged 1 to 15 years with non-parasitic cysts of kidneys using mini-invasive laparoscopic technologies are analyzed. Laparoscopic operations with original technique have been performed at all the patients with various cysts sizes (from 3 to 13 cm across diameter) and localization (including 12 cases of peripelvic cysts). The time of surgery ranged 25 to 110 min (43 min on average); there were no conversions to open surgery, intraoperative and postoperative complications. The follow-up ranged from 1 to 3 years, there were no cases of cyst recurrence, and the functional and cosmetic results were excellent. It is concluded that laparoscopic method should be regarded as "gold standard" for the treatment of non-parasitic kidneys cysts at children that permits to achieve the stable positive results regardless of patient age, size and localization of cyst.

摘要

分析了采用微创腹腔镜技术治疗62例1至15岁患有非寄生虫性肾囊肿儿童的治疗结果。对所有囊肿大小各异(直径3至13厘米)及位置不同(包括12例肾盂周围囊肿)的患者均采用了原创技术进行腹腔镜手术。手术时间为25至110分钟(平均43分钟);无转为开放手术的情况,无术中及术后并发症。随访时间为1至3年,无囊肿复发病例,功能及美容效果极佳。得出结论,腹腔镜方法应被视为儿童非寄生虫性肾囊肿治疗的“金标准”,无论患者年龄、囊肿大小及位置如何,均可取得稳定的阳性结果。

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