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dai di zhi fang ban tian sai gu ding zai fu qiang jing shen nang zhong qu ding shu zhong de ying yong
Author(s): 
Pages: 2120-2122
Year: Issue:  13
Journal: The Journal of Practical Medicine

Keyword:  肾囊肿腹腔镜手术脂肪瓣填塞复发;
Abstract: 目的:探讨带蒂脂肪瓣填塞固定技术在腹腔镜下肾囊肿去顶术中的应用价值。方法:选取2008年1月至2012年12月入院的55例肾囊肿患者,左侧29例,右侧26例,囊肿直径5.1~12.0(7.2±1.5)cm。在腹腔镜下肾囊肿去顶减压后,游离周围带蒂脂肪组织瓣填塞残腔并缝合固定,记录手术时间、出血量及并发症。结果:本组55例实施腹腔镜下肾囊肿去顶+带蒂脂肪瓣填塞固定术,其中14例经腹腔入路,41例经后腹腔入路,无中转病例。手术时间25~50(35.4±4.6)min,术中出血量5~200(24.6±5.4)mL。随访1~6(3.8±1.4)年,未见囊肿复发。结论:腹腔镜下肾囊肿去顶术中应用带蒂脂肪瓣填塞残腔并固定的方法可行,疗效确切,值得临床推广。
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