Retroperitoneoscopy for the Treatment and Evaluation of Symptomatic or Indeterminate Renal Cysts

以後腹腔鏡治療與診斷有症狀或未明性質之腎臟囊腫

李維菁(Wei-Ching Lee) ； 謝輝和(Huei-Ho Hsieh)

《中華民國泌尿科醫學會雜誌》 10卷4期 (1999/12) Pp. 155-159

https://doi.org/10.7024/JUAROC.199912.0155

摘要

對於治療與評估有症狀或未明診斷之腎臟囊腫，大多數的病人都可以用極小侵犯性的方式處理，但仍有少數病例須要以手術處理，我們報告十三例後腹腔鏡手術的經驗。
十三位腎臟囊腫之病人接受後腹腔鏡手術，術前診斷有十例單純性腎臟囊腫，三例未明診斷，結果我們以後腹腔鏡成功地切除十一例單純性腎臟囊腫及一例腎上腺囊腫，有一例經後腹腔鏡診斷為腎臟腫瘤而改為根除性腎切除手術，經病理證實為腎細胞癌。對於這些經選擇後須要手術的病人，我們認為以後腹腔鏡來治療或評估腎臟囊腫是有效而可行的，當然更多的經驗累積還是必要的。

關鍵字

腹腔鏡 ； 後腹腔 ； 腎臟腫瘤，囊腫切除術。

並列摘要

For the evaluation or management of symptomatic or indeterminate renal cysts, minimally invasive techniques may be appropriate for most patients. However, open surgery is still needed in some selected cases. To demonstrate the efficacy of an alternative procedure for the treatment and evaluation of symptomatic or indeterminate renal cysts, wer present our experience with ret-roperitoneoscopy in 13 such cases.
Thirteen patients including 10 with simple renal cysts and 3 with indeterminate renal cystic lesions, underwent retroperitoneoscopic procedures for treatment or evaluation. Ultimately, 11 patients received retroperitoneoscopic simple renal cyst unroofing, 1 patient underwent retro-peritoneoscopic adrend cyst resection, and for 1 patient, the procedure was converted to open radical nephrectomy upon diagnosis of rend cell carcinoma. Retroperitoneoscopic surgery was used to treat benign cystic lesions successfully in all patients, and a tumor consistent with a cystic lesion was diagnosed in 1 patient. Retroperitoneoscopy for the treatment and evaluation of symptomatic or indeterminate renal cystic lesions is feasible and effective in some selected pa-tients when minimally invasive options fail. Although the preliminary results are very encourage-ing, more experience is clearly options fail. Although the preliminary results are very encourage-plication.(J Urol R.O.C.,10:155-159,1999)

並列關鍵字

peritoneoscopy ； retroperitoneal space ； renal neoplasms ； cystectomy.