Liu Mei, Xiao Ruihai, Pan Qiufeng, Yin Yingqun, Wang Longwang
Department of Anesthesiology, The First Affiliated Hospital of Nanchang University Nanchang 330006, Jiangxi, China.
Hospita of Nanchang University Nanchang 330006, Jiangxi, China.
Am J Transl Res. 2023 Aug 15;15(8):5469-5476. eCollection 2023.
To investigate the efficacy and safety of ultrasound-guided percutaneous intracystic deroofing for the treatment of simple renal cysts.
A retrospective study was conducted to analyze the clinical data of 46 patients with dorsal exophytic simple renal cysts treated at the First Affiliated Hospital of Nanchang University between February 2017 and June 2022. The patients were divided into two groups according to the surgical method, with 20 cases undergoing ultrasound-guided percutaneous intracystic deroofing being assigned to the observation group and 26 cases treated by retroperitoneal laparoscopic renal cyst removal included in the control group. The operation time, blood loss, postoperative catheterization time, postoperative drainage tube indwelling time, postoperative hospital stay, and complications were compared.
None of the 46 patients converted to open surgery. The observation group showed significantly less blood loss, shorter operation time, drainage tube drainage time, postoperative hospital stay, and indwelling catheter time than the control group (all P<0.05). The two procedures had a success rate of 100%. There were no statistical significances in K, Na, or serum creatinine between the two groups (all P>0.05). All patients were followed up (3 to 6 months) after surgery, and no cyst recurrence was found by imaging examination.
Ultrasound-guided percutaneous intracystic deroofing of renal cysts is worthy of clinical application in the treatment of simple renal cysts due to its significant advantages such as short operation time, less trauma, quick recovery, safety, effectiveness, and low cost.
探讨超声引导下经皮囊肿去顶术治疗单纯性肾囊肿的疗效及安全性。
回顾性分析2017年2月至2022年6月在南昌大学第一附属医院接受治疗的46例背侧外生性单纯性肾囊肿患者的临床资料。根据手术方式将患者分为两组，其中20例行超声引导下经皮囊肿去顶术的患者作为观察组，26例行后腹腔镜肾囊肿切除术的患者作为对照组。比较两组患者的手术时间、出血量、术后导尿时间、术后引流管留置时间、术后住院时间及并发症情况。
46例患者均未中转开放手术。观察组患者的出血量、手术时间、引流管引流时间、术后住院时间及导尿管留置时间均明显少于对照组（均P<0.05）。两种手术方式的成功率均为100%。两组患者的血钾、血钠及血清肌酐水平比较，差异均无统计学意义（均P>0.05）。所有患者术后均随访3至6个月，影像学检查未发现囊肿复发。
超声引导下经皮肾囊肿去顶术具有手术时间短、创伤小、恢复快、安全有效、费用低等显著优点，值得临床应用于单纯性肾囊肿的治疗。
