Clinical Controlled Observation of Retroperitoneal Laparoscopic Renal Cyst Unroofing and Retained Pericystic Fat Fixation
LI Bo-quan,KANG Sheng-hu,WANG Rui
Urology Department, 983 Hospital of the Joint Logistics Support Force of the Chinese People' s Liberation Army, Tianjin (300142), China
Abstract:
Objective To explore the clinical effect of the application of ligation clip to fix the wall and peripheral fat to prevent postoperative recurrence of laparoscopic renal cyst. Methods A retrospective analysis of 154 patients with laparoscopic renal cyst surgery was performed, 86 of whom (set to Group A) had a pre- removed portion during the removal of the cyst wall. The cyst wall and the perirenal fat were ?xed with a ligation clip, and the remaining 75 cases (set to B group) were treated with a single endoscopic cyst decompression. The operation time, intraoperative blood loss, postoperative hospital stay, complications, recurrence, etc of the two groups were compared. Results All the cases were successfully completed. There were no complications such as blood, infection and urinary leakage. The postoperative B-ultrasound and CT examinations were followed up for 3 to 24 months, with an average of 14.5 months. There was no signi?cant difference in operation time, bleeding volume, and hospitalization time between the two groups. There was no cyst recurrence in group A, and 5 patients in group B had recurrence. Conclusion The use of retroperitoneal laparoscopic renal cystectomy and combined with ligation clamp fixation of the wall and peripheral fat can effectively prevent postoperative recurrence.
