Urology Department, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34396 Istanbul, Turkey.
Arch Esp Urol. 2024 May;77(4):331-337. doi: 10.56434/j.arch.esp.urol.20247704.45.
This study aimed to assess the feasibility, safety, and efficacy of an endoscopic parapelvic renal cyst (PRC) incision using flexible ureterorenoscopy (fURS).
We retrospectively reviewed data concerning 16 patients in whom PRC incisions had been performed using fURS between January 2016 and January 2022. Two patients were excluded from the study owing to a lack of follow-up information. The cysts of all the patients were evaluated preoperatively by computed tomography. The patients' age, gender, cyst size, presenting symptoms, postoperative complications, and pre- and post-treatment visual analogue scale (VAS) scores were evaluated. Surgical success was defined as a reduction of more than half of the cyst size in the sixth postoperative month.
A total of 14 patients were included in this study. The patients' mean age was 52.6 ± 8.8 years, and the mean cyst size was 69.1 ± 15.5 mm. Twelve (85.7%) patients presented with flank pain. Clavien-Dindo grade 1 complications were observed in two patients (14.3%), and grade 2 complications were observed in one (7.1%). The median VAS scores were significantly lower after treatment than before in patients who presented with flank pain (2 (1-2.8) vs 8 (7-8), respectively; = 0.002). Surgical success rate was detected in 11 patients (78.6%) six months after the treatment.
Endoscopic incision of the PRC is a feasible treatment modality with high success rates and low complication rates. However, multicentre studies with larger populations and longer follow-ups are needed to evaluate the lasting effects.
本研究旨在评估使用软性输尿管肾镜（fURS）经内镜肾盂旁囊肿（PRC）切开术的可行性、安全性和疗效。
我们回顾性分析了 2016 年 1 月至 2022 年 1 月期间使用 fURS 行 PRC 切开术的 16 例患者的数据。由于缺乏随访信息，有 2 例患者被排除在研究之外。所有患者的囊肿均在术前通过计算机断层扫描进行评估。评估了患者的年龄、性别、囊肿大小、临床表现、术后并发症以及术前和术后视觉模拟量表（VAS）评分。术后 6 个月囊肿体积减少超过一半定义为手术成功。
共有 14 例患者纳入本研究。患者的平均年龄为 52.6±8.8 岁，囊肿平均大小为 69.1±15.5mm。12 例（85.7%）患者表现为腰痛。2 例（14.3%）患者出现 Clavien-Dindo 1 级并发症，1 例（7.1%）患者出现 2 级并发症。有腰痛症状的患者治疗后的 VAS 评分中位数明显低于治疗前（2（1-2.8）与 8（7-8）， = 0.002）。治疗后 6 个月，11 例（78.6%）患者手术成功。
经内镜肾盂旁囊肿切开术是一种可行的治疗方法，具有较高的成功率和较低的并发症发生率。然而，需要进行多中心研究，以评估更大的人群和更长的随访时间下的长期效果。
