经脐单孔多通道腹腔镜治疗单纯性肾囊肿（附6例报道）

摘要

Objective To explore the feasibility of single-port transumbilical laparoscopic unroofing of renal cysts by using the TriPort system. Methods Single-port transumbilical laparoscopic unroofing of renal cysts was performed in six patients with simple renal cyst confirmed by ultrasound, IVP,and CT scans during June 2010 to december 2010, three patients with right-sided, two with left-sided,and one with bilateral cysts. Results The procedure was successfully completed in all the patients, with a median surgical duration of 93 min ( 75 ～ 110 rmin ) and a median blood loss of 25 ml ( 10 ～ 40 ml ). No open surgery or blood transfusion was needed in all the patients and no complications occurred during a follow-up of 1 to 6 months. Conclusions Single-port transumbilical laparoscopic unroofing of renal cysts is safe, feasible, and effective. Skillful laparoscopic operation and suitable indications are the key to successful surgery.%目的 总结经脐Triport单孔多通道腹腔镜肾囊肿去顶术的临床经验。方法 从2010年6-12月我院6例经超声、静脉肾盂造影(IVP)和CT检查证实为单纯性肾囊肿患者，采用经脐单孔多通道腹腔镜行肾囊肿去顶术，其中左侧2例，右侧3例，双侧1例。结果 6例手术均获成功，平均手术时间75～ 110 min，中位数时间93 min钟，术中出血10～40 ml，中位数25 ml。无中转开放手术及输血，随访1～6月，无并发症发生，术后疤痕少。结论 经脐单孔多通道腹腔镜肾囊肿去顶术是安全可行的，美容效果好。熟练掌握常规腹腔镜技术，选择合适的病人是手术成功的关键。