Mimata H, Mizoguchi H, Ohno H, Tasaki Y, Hanada T, Nomura Y
Department of Urology, Oita Medical University, Japan.
Int J Urol. 1997 Mar;4(2):212-7; discussion 217-8. doi: 10.1111/j.1442-2042.1997.tb00174.x.
We report 2 cases of simple renal cysts which were marsupialized with 2 laparoscopic approaches involving either transperitoneal, with reflection of the colon medially or dissection through the mesocolon, and a case of a multilocular renal cyst which was treated by the retroperitoneal approach. Although laparoscopic unroofing of a renal cyst is a safe and effective alternative to open surgical techniques, the transperitoneal approach should only be used for simple renal cysts. The retroperitoneal approach for complicated renal cysts may be indicated if preoperative examinations exclude the possibility of malignancy.
我们报告了2例采用两种腹腔镜手术方法行囊肿开窗引流的单纯性肾囊肿病例，其中一种是经腹腔途径，将结肠向内侧翻转或通过结肠系膜进行分离，还有1例多房性肾囊肿采用后腹腔途径进行治疗。虽然腹腔镜下肾囊肿开窗引流术是一种安全有效的开放性手术替代方法，但经腹腔途径仅适用于单纯性肾囊肿。如果术前检查排除恶性可能性，对于复杂性肾囊肿可考虑采用后腹腔途径。
