Ten years’ experiences of laparoscopic decortication with edge eversion or conventional laparoscopic decortication for renal cyst

doi:10.3877/cma.j.issn.1674-3253.2019.03.009

Abstract

Abstract:

Objective

To present the experience of our novel technique in laparoscopic management of simple renal cyst.

Methods

From April 2008 to January 2018, 185 consecutive patients in our hospital underwent laparoscopic decortication with edge eversion or conventional laparoscopic decortication for renal cyst. Preoperative data, intraoperative data, postoperative recurrence rate and the rate of postoperative red fluid were compared between these two groups.

Results

Operations of all 185 cases were done successfully, no major perioperative complications were found. No significant difference in sex ratio, age, size of renal cyst, operation time, intraoperative bleeding volume and postoperative hospital stay was found between the two groups (P>0.05). The rate of postoperative red fluid and postoperative recurrence rate in conventional laparoscopic decortication group were higher than those of the laparoscopic decortication with edge eversion group (P<0.05).

Conclusion

Compare with conventional laparoscopic decortication of renal cyst, our novel technique of laparoscopic decortication with edge eversion is a feasible, safe and effective treatment for simple renal cyst with durable response and less morbidity.

Key words: Laparoscopy, Renal cyst, Decortication, Eversion

Jiapeng Zhang, Caixia Zhang, Hao Liu, Wen Dong, Xinxiang Fan, Li Huang, Dingjun Zhu, Hao Yu, Hai Huang, Cheng Liu, Yousheng Yao. Ten years’ experiences of laparoscopic decortication with edge eversion or conventional laparoscopic decortication for renal cyst[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(03): 179-182.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2019.03.009

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2019/V13/I03/179

Figures/Tables 3

References 16

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组别	例数	性别（例）		年龄（岁，±s）	囊肿最大内径（cm，±s）	囊肿位置（例）				Bosniak分级（例）		囊肿侧别（例）
组别	例数	男	女	年龄（岁，±s）	囊肿最大内径（cm，±s）	肾上极	肾中极	肾下极	肾盂旁	Ⅰ级	Ⅱ级	左肾	右肾
囊肿壁反转减压组	082	46	36	50±11	7.1±2.7	23	28	17	14	67	15	37	45
普通去顶减压组	103	62	41	44±10	6.8±2.2	22	35	26	20	79	24	48	55
统计值	?	χ²=0.32		t=1.11	t=0.55	χ²=1.376				χ²=0.688		χ²=0.04
P值	?	0.57		0.26	0.58	0.71				0.41		0.84

组别	例数	性别（例）		年龄（岁，±s）	囊肿最大内径（cm，±s）	囊肿位置（例）				Bosniak分级（例）		囊肿侧别（例）
组别	例数	男	女	年龄（岁，±s）	囊肿最大内径（cm，±s）	肾上极	肾中极	肾下极	肾盂旁	Ⅰ级	Ⅱ级	左肾	右肾
囊肿壁反转减压组	082	46	36	50±11	7.1±2.7	23	28	17	14	67	15	37	45
普通去顶减压组	103	62	41	44±10	6.8±2.2	22	35	26	20	79	24	48	55
统计值	?	χ²=0.32		t=1.11	t=0.55	χ²=1.376				χ²=0.688		χ²=0.04
P值	?	0.57		0.26	0.58	0.71				0.41		0.84

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	术后住院天数（d，±s）	术后复发[例(%)]	术后引流液较红[例(%))]
囊肿壁反转减压组	082	62±23	10.0±12.6	4.1±1.6	2(2.4)	1(1.2)
普通去顶减压组	103	71±27	14.5±11.3	4.4±1.8	12(11.7)	9(8.7)
统计值	?	t=1.13	t=1.46	t=0.70	χ²=5.53	χ²=5.05
P值	?	0.23	0.17	0.49	0.02	0.03

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	术后住院天数（d，±s）	术后复发[例(%)]	术后引流液较红[例(%))]
囊肿壁反转减压组	082	62±23	10.0±12.6	4.1±1.6	2(2.4)	1(1.2)
普通去顶减压组	103	71±27	14.5±11.3	4.4±1.8	12(11.7)	9(8.7)
统计值	?	t=1.13	t=1.46	t=0.70	χ²=5.53	χ²=5.05
P值	?	0.23	0.17	0.49	0.02	0.03

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