Guo Feng-fu, Shao Zhi-qiang, Wang Guang-jian, Tan Shan-feng, He Xiang-fei, Wang Jian-ming, Xia Shu-jie
Department of Urology, Linyi People's Hospital, Shandong Province, Linyi, China.
Zhonghua Yi Xue Za Zhi. 2012 Jan 10;92(2):122-3.
To explore the surgical approaches, efficacy and safety of percutaneous nephroscopic 2 µm laser incision and drainage in the treatment of peripelvic renal cysts.
The peripelvic renal cysts were punctured percutaneously. A 1.5 - 4.0 cm incision was made at thin avascular area between cyst and pelvis by the 2 µm laser to connect the cyst with the renal collecting system with the help of injecting methylene blue solution into renal pelvis through ureteral catheter. The double-J tube was placed for drainage.
The operations were successful in all cases. There were 16 males and 15 females with a mean age of 49 years old. The operative durations ranged from 25 to 120 minutes. And no severe complications occurred. The patients were followed up for an average of 12 months (range: 3 - 36). Among them, cysts disappeared in 18 cases and diminished over 1/3 in 13 cases. There was no recurrence of peripelvic renal cyst.
Percutaneous nephroscopic 2 µm laser incision and drainage for peripelvic renal cyst is safe, effective and mini-invasive.
探讨经皮肾镜2μm激光切开引流术治疗肾盂旁肾囊肿的手术方法、疗效及安全性。
经皮穿刺肾盂旁肾囊肿，在囊肿与肾盂之间的无血管薄区用2μm激光作1.5～4.0cm切口，经输尿管导管向肾盂内注入亚甲蓝溶液，使囊肿与肾集合系统相通，留置双J管引流。
所有病例手术均成功。男16例，女15例，平均年龄49岁。手术时间25～120分钟，无严重并发症发生。患者平均随访12个月（3～36个月），其中囊肿消失18例，缩小超过1/3 13例，肾盂旁肾囊肿无复发。
经皮肾镜2μm激光切开引流术治疗肾盂旁肾囊肿安全、有效、微创。
