Hoenig D M, Leveillee R J, Amaral J F, Stein B S
Division of Urology, Brown University School of Medicine, Providence, RI, USA.
J Endourol. 1995 Feb;9(1):55-8. doi: 10.1089/end.1995.9.55.
Although they are rarely associated with complaints, benign renal cysts may be the cause of pain, hypertension, or other problems. Simple aspiration is rarely definitive treatment. We have had good results with three laparoscopic approaches to cyst unroofing: transperitoneal, with reflection of the colon medially or dissection through the mesocolon and direct retroperitoneoscopy. We recommend initial percutaneous aspiration with cytology study both to rule out malignancy and to identify those cysts clearly in need of unroofing.
尽管良性肾囊肿很少引发不适，但仍可能导致疼痛、高血压或其他问题。单纯穿刺抽吸很少能作为确定性治疗方法。我们采用三种腹腔镜囊肿去顶术均取得了良好效果：经腹腔途径，将结肠向内侧翻转或通过结肠系膜进行分离，以及直接后腹腔镜检查。我们建议首先进行经皮穿刺抽吸并进行细胞学检查，以排除恶性肿瘤并明确哪些囊肿确实需要去顶。
