Hamedanchi Sepehr, Tehranchi Ali
Urology & Nephrology Research Center, Department of Urology, Imam Medical Center, Urmia University of Medical Sciences, Urmia, Iran.
Korean J Urol. 2011 Oct;52(10):693-7. doi: 10.4111/kju.2011.52.10.693. Epub 2011 Oct 19.
To assess the efficacy of percutaneous unroofing in the treatment of simple renal cysts instead of laparoscopic decortication and open surgeries.
From November 2009 to October 2010 at our department, 11 patients with 12 simple cyst units were managed by percutaneous unroofing. All cysts were evaluated with ultrasonography and abdominal computed tomography. If there were no contraindications, cyst wall resection was performed. A standard transurethral resectoscope was used to resect the cyst wall, and the parenchymal portion of the cyst was subsequently cauterized. The drain was left in place for 2 days.
At the 5-month follow-up, patients were asked about their symptoms and ultrasonography was performed. From 12 cyst units, 8 were completely resolved, 3 were reduced to less than 50%, and 1 was persistent to near its original size. Success was defined as a more than 50% reduction in cyst volume.
Simple renal cysts can be safely managed by percutaneous unroofing with a success rate of more than 90%. This technique can offer several advantages over open surgery, such as decreased length of hospital stay, improved convalescence, and reduced risk of complications. Percutaneous resection also avoids the multiple trocar sites, extensive dissection, and technical difficulty associated with laparoscopy.
评估经皮囊肿去顶术治疗单纯性肾囊肿的疗效，以替代腹腔镜去皮质术和开放手术。
2009年11月至2010年10月，我科对11例患者的12个单纯囊肿单位采用经皮囊肿去顶术进行治疗。所有囊肿均行超声检查和腹部计算机断层扫描评估。若没有禁忌证，则进行囊肿壁切除术。使用标准的经尿道电切镜切除囊肿壁，随后烧灼囊肿的实质部分。引流管留置2天。
在5个月的随访中，询问患者症状并进行超声检查。12个囊肿单位中，8个完全消失，3个缩小至小于原来的50%，1个维持原状。成功定义为囊肿体积缩小超过50%。
经皮囊肿去顶术可安全地治疗单纯性肾囊肿，成功率超过90%。该技术与开放手术相比具有多个优点，如缩短住院时间、促进康复以及降低并发症风险。经皮切除术还避免了与腹腔镜手术相关的多个穿刺部位、广泛的解剖操作和技术难度。
