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后腹腔镜手术同期治疗肾囊肿和同侧结石:附2例报告

Simultaneous treatment of renal cysts and ipsilateral stones with retroperitoneoscopic surgery: report of two cases.

作者信息

Nguyen Minh Tuan, Nguyen Huu Thanh, Cao Minh Phuc, Nguyen Hong Thai, Trinh Ha Chau, Nguyen Truong Giang

机构信息

Department of Urological Surgery, Bach Mai Hospital, Hanoi, Viet Nam; Department of Surgery, Hanoi Medical University, Hanoi, Viet Nam.

Department of Urological Surgery, Bach Mai Hospital, Hanoi, Viet Nam.

出版信息

Int J Surg Case Rep. 2025 Jun 13;133:111504. doi: 10.1016/j.ijscr.2025.111504.

Abstract

INTRODUCTION AND IMPORTANCE

A simple kidney cyst is the most common type of renal cyst. These cysts are usually asymptomatic and detected incidentally upon radiological exams of the abdomen. Currently, there are many methods of treating renal cysts, in which retroperitoneoscopy to remove the cyst is a safe and more effective method. However, the simple renal cyst with renal pelvis stones will raise a question in the approach.

CASE PRESENTATION

In this report, we present two cases, admitted to the hospital with abdominal pain and diagnosed with a simple renal cyst with renal calculis. The two patients underwent retroperitoneal laparoscopic treatment of renal cyst and renal calculi in one surgery.

CLINICAL DISCUSSION

We want to discuss and share our experience in surgically treating these exceptional cases.

CONCLUSION

In two cases, we chose the retroperitoneoscopic technique to remove the renal cyst and the renal stone, which resulted in good treatment results. This is an effective and safe alternative for the simultaneous treatment of renal cysts and ipsilateral renal calculi in carefully selected patients.

摘要

引言与重要性

单纯性肾囊肿是最常见的肾囊肿类型。这些囊肿通常无症状,在腹部影像学检查时偶然发现。目前,治疗肾囊肿有多种方法,其中后腹腔镜下囊肿切除术是一种安全且更有效的方法。然而,伴有肾盂结石的单纯性肾囊肿在治疗方法上会引发问题。

病例介绍

在本报告中,我们呈现两例因腹痛入院并被诊断为伴有肾结石的单纯性肾囊肿患者。这两名患者在一次手术中接受了后腹腔镜下肾囊肿及肾结石治疗。

临床讨论

我们希望讨论并分享手术治疗这些特殊病例的经验。

结论

在这两例病例中,我们选择后腹腔镜技术切除肾囊肿和肾结石,取得了良好的治疗效果。对于精心挑选的患者,这是同时治疗肾囊肿和同侧肾结石的一种有效且安全的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38a9/12246638/caeb952154d5/gr1.jpg

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