Department of Urology, Faculty of Medicine, Alanya Alaaddin Keykubat University, Alanya, Turkey.
Department of Urology, Faculty of Medicine, Hitit University, Corum, Turkey.
Aging Male. 2020 Sep;23(3):227-231. doi: 10.1080/13685538.2020.1741542. Epub 2020 Mar 19.
To investigate the assessment of feasibility and safety of laparoscopic decortication of simple renal cysts in elderly patients. The data of 114 patients who underwent laparoscopic decortication for simple renal cyst between October 2011 and May 2019 were retrospectively evaluated. Patients' age, gender and ASA scores; operation time; cyst size and location; complications; hospital stays and success rates of operations were recorded. The mean age of the patients were 73.8 ± 8.2 years. Forty-eight (42.1%) of the patients were female and 66 (57.9%) were male. Cysts were localized on the right side in 61 (53.5%) patients and on the left side in 53 (46.5%) patients; and mean cyst size was 72.83 ± 31.13 mm. Also, they were localized on the anterior in 88 (77.2%) patients and on the posterior of the kidney in 26 (22.8%) patients. Preoperative ASA score distributions were ASA-I in 12 patients (10.5%), ASA-II in 31 patients (27.2%), ASA-III in 68 patients (59.7%), and ASA-IV in 3 patients (2.6%). Mean operative time was 41.4 ± 5.6 min. Clavien grade 1 complications were observed in 5 (10.4%) patients. Median hospitalization time was 1 day. No recurrence was occurred in any patient in the postoperative period. Although laparoscopic surgery has some risks and complications for elderly patients, laparoscopic decortication can be applied safely and effectively in treatment of simple renal cyst in that patient population.
探讨腹腔镜肾囊肿去顶术治疗老年患者的可行性和安全性评估。回顾性分析 2011 年 10 月至 2019 年 5 月 114 例行腹腔镜肾囊肿去顶术患者的临床资料。记录患者年龄、性别、ASA 评分、手术时间、囊肿大小和位置、并发症、住院时间及手术成功率。患者年龄为 73.8±8.2 岁。男 66 例（57.9%），女 48 例（42.1%）；囊肿位于右侧 61 例（53.5%），左侧 53 例（46.5%）；囊肿平均大小为 72.83±31.13mm。囊肿位于前侧 88 例（77.2%），位于后侧 26 例（22.8%）。术前 ASA 评分：Ⅰ级 12 例（10.5%），Ⅱ级 31 例（27.2%），Ⅲ级 68 例（59.7%），Ⅳ级 3 例（2.6%）。手术时间为 41.4±5.6min。Clavien Ⅰ级并发症 5 例（10.4%）。中位住院时间为 1d。术后随访无复发。尽管腹腔镜手术对老年患者存在一定的风险和并发症，但腹腔镜肾囊肿去顶术可安全、有效地应用于老年单纯性肾囊肿的治疗。
