Tehranchi Ali, Hamedanchi Sepehr, Badalzadeh Afshin
Department of Urology, Imam Medical Centre, Urmia University of Medical Sciences, Ershad Blvd, Urmia, Iran.
Arab J Urol. 2011 Dec;9(4):255-7. doi: 10.1016/j.aju.2011.07.004. Epub 2011 Dec 11.
To assess the efficacy of percutaneous unroofing (PU) for treating simple renal cysts, compared with laparoscopic decortication and open surgery.
From November 2009 to October 2010, 11 patients with 12 simple cysts in renal units were managed by PU. All cysts were evaluated with ultrasonography and abdominal computed tomography. A standard transurethral resectoscope was used to resect the cyst wall, and the parenchymal portion of the cyst was subsequently cauterised. A drain was left in place for 2 days. Success was defined as a >50% reduction in cyst diameter.
At the 5-month follow-up, patients were asked about their symptoms and assessed by ultrasonography. Of the 12 cyst units, eight were completely resolved, three were reduced to <50% in diameter and one was persistent, close to the original size.
Simple renal cysts can be managed safely by PU, with a success rate of >90%. This technique offers several advantages over open surgery, with a shorter hospital stay, improved convalescence and reduced risk of complications. PU also avoids the multiple trocar sites, extensive dissection, and technical difficulty associated with laparoscopy.
与腹腔镜去皮质术和开放手术相比，评估经皮囊肿开窗术（PU）治疗单纯性肾囊肿的疗效。
2009年11月至2010年10月，11例肾单位有12个单纯性囊肿的患者接受了PU治疗。所有囊肿均通过超声检查和腹部计算机断层扫描进行评估。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。留置引流管2天。成功定义为囊肿直径缩小>50%。
在5个月的随访中，询问患者症状并通过超声检查进行评估。12个囊肿单位中，8个完全消退，3个直径缩小至<50%，1个持续存在，接近原始大小。
单纯性肾囊肿可通过PU安全治疗，成功率>90%。该技术与开放手术相比具有多个优势，住院时间更短，康复情况改善，并发症风险降低。PU还避免了与腹腔镜检查相关的多个套管针穿刺部位、广泛的解剖以及技术难度。
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