The safety and efficacy of retroperitoneoscopic microwave ablation (MWA) in the treatment of renal hamartoma were evaluated.From July 2007 to July 2009, a total of 16 cases of renal hamartoma were treated with retrope...The safety and efficacy of retroperitoneoscopic microwave ablation (MWA) in the treatment of renal hamartoma were evaluated.From July 2007 to July 2009, a total of 16 cases of renal hamartoma were treated with retroperitoneoscopic MWA.Peri-and post-operative findings were observed.Middle-term efficacy was assessed by contrast-enhanced computerized tomography (CT) in follow-up period.All patients received MWA of 1-5 points.The mean operative time was 85 min and the mean blood loss was 65 mL.During a median follow-up of 16 months, no evidence of disease recurrence was observed despite of incomplete ablation in 1 case.Retroperitoneoscopic MWA is a relatively simple procedure with less impact to renal function and less complication.The outcome of middle-term follow-up is satisfactory.Thus, retroperitoneoscopic MWA appears to be a safe and effective technique for renal hamartoma in selected patients.展开更多
目的:探讨后腹腔镜单侧面游离输尿管切开取石术的临床疗效及应用价值。方法:回顾性分析我院2018年5月—2019年12月65例经后腹腔镜输尿管切开取石术治疗的患者临床资料;将患者分为两组,A组41例接受单侧面纵向游离输尿管切开取石治疗,B组2...目的:探讨后腹腔镜单侧面游离输尿管切开取石术的临床疗效及应用价值。方法:回顾性分析我院2018年5月—2019年12月65例经后腹腔镜输尿管切开取石术治疗的患者临床资料;将患者分为两组,A组41例接受单侧面纵向游离输尿管切开取石治疗,B组24例接受完全游离输尿管切开取石治疗。对两组患者手术时间、术中出血量、术后疼痛反应、伤口引流管留置时间、取石率、住院时间及术后短期并发症情况进行对比分析。结果:两组手术均获得成功,其中A组2例术中结石上移至肾内,改开放手术取石成功;随访6个月两组患者均未出现漏尿、输尿管穿孔等并发症;两组患者在术后疼痛评分[(3.8±1.57)分vs.(4.2±1.25)分,t=1.08,P>0.05]、取石率[95%vs.100%,χ^(2)=0.13,P>0.05]方面差异无统计学意义;与B组比较,A组平均手术时间短[(62.6±12.45) min vs.(73.1±10.62) min,t=3.46,p<0.05]、术中出血量少[(38.9±21.29) mLvs.(54.0±21.47) mL,t=2.74,P<0.05]、伤口引流管留置时间短[(74.9±18.43) h vs.(91.2±19.25) h,t=3.39,P<0.05]、住院时间[(7.3±1.96) d vs.(8.9±1.86) d,t=3.19,P<0.05]。结论:后腹腔镜单侧面纵向游离输尿管切开取石治疗输尿管上段结石效果确切,具有损伤小、手术时间短、康复快等优点,是一种值得临床应用和继续探讨的手术技巧。展开更多
文摘The safety and efficacy of retroperitoneoscopic microwave ablation (MWA) in the treatment of renal hamartoma were evaluated.From July 2007 to July 2009, a total of 16 cases of renal hamartoma were treated with retroperitoneoscopic MWA.Peri-and post-operative findings were observed.Middle-term efficacy was assessed by contrast-enhanced computerized tomography (CT) in follow-up period.All patients received MWA of 1-5 points.The mean operative time was 85 min and the mean blood loss was 65 mL.During a median follow-up of 16 months, no evidence of disease recurrence was observed despite of incomplete ablation in 1 case.Retroperitoneoscopic MWA is a relatively simple procedure with less impact to renal function and less complication.The outcome of middle-term follow-up is satisfactory.Thus, retroperitoneoscopic MWA appears to be a safe and effective technique for renal hamartoma in selected patients.
文摘目的:探讨后腹腔镜单侧面游离输尿管切开取石术的临床疗效及应用价值。方法:回顾性分析我院2018年5月—2019年12月65例经后腹腔镜输尿管切开取石术治疗的患者临床资料;将患者分为两组,A组41例接受单侧面纵向游离输尿管切开取石治疗,B组24例接受完全游离输尿管切开取石治疗。对两组患者手术时间、术中出血量、术后疼痛反应、伤口引流管留置时间、取石率、住院时间及术后短期并发症情况进行对比分析。结果:两组手术均获得成功,其中A组2例术中结石上移至肾内,改开放手术取石成功;随访6个月两组患者均未出现漏尿、输尿管穿孔等并发症;两组患者在术后疼痛评分[(3.8±1.57)分vs.(4.2±1.25)分,t=1.08,P>0.05]、取石率[95%vs.100%,χ^(2)=0.13,P>0.05]方面差异无统计学意义;与B组比较,A组平均手术时间短[(62.6±12.45) min vs.(73.1±10.62) min,t=3.46,p<0.05]、术中出血量少[(38.9±21.29) mLvs.(54.0±21.47) mL,t=2.74,P<0.05]、伤口引流管留置时间短[(74.9±18.43) h vs.(91.2±19.25) h,t=3.39,P<0.05]、住院时间[(7.3±1.96) d vs.(8.9±1.86) d,t=3.19,P<0.05]。结论:后腹腔镜单侧面纵向游离输尿管切开取石治疗输尿管上段结石效果确切,具有损伤小、手术时间短、康复快等优点,是一种值得临床应用和继续探讨的手术技巧。
