Safety And Efficacy Of Different Operationmodes For The Treatment Of Parapelvic Cyst

Objective Clinical data, refer to the relevant literature, and through the comparisonof the retroperitoneal laparoscopic parapelvic cyst decortication, open operation forthe treatment of parapelvic cyst, percutaneous nephrolithotomy puncture drainage forthe treatment of parapelvic cyst, flexible ureteroscope for the treatment of parapelviccyst4kinds of operation method, safety and efficacy of the treatment of parapelviccyst.Methods Collect and collate2003October~2013October clinical data oftreatment of renal Department of Urology, First Affiliated Hospital of ZhengzhouUniversity and176patients with cyst. All patients of176patients were treated withoperation, postoperative collection cut the cystic wall specimens were sent for routinepathological examination after operation, all patients were follow-up by telephone.Among them60underwent open operation for the treatment of parapelvic cyst,73columns by retroperitoneal laparoscopic cyst decortication,28rows of percutaneousnephroscope puncturation internal drainage for the treatment of parapelvic cyst,15columns with flexible ureteroscope for the treatment of parapelvic cyst.Analysis ofthe clinical data of4cases of patients with operation method in the treatment of renalcyst. The first analysis of the related index of patients between the4groups, wecompared4methods of operation time,bleeding volume, total cost of hospitalization,postoperative complications, postoperative rehabilitation effect etc. The use ofstatistical software for data processing, the measurement index by using the t test,count data using X2test,(P <0.05) when there was statistical significance.Results1. The176column operation patients were satisfied with the results, smoothoperation, no bleeding and fatal complications during operation; Retroperitoneallaparoscopic operation group did not appear in the middle to open operation, ofwhich1columns with cyst located deep operation injury ureteropelvic junction, causing local tissue injury, intraoperative immediate laceration of suture, and D-Jindwelling tube expansion drainage, postoperative were recovered and dischargedfrom hospital.Percutaneous nephrolithotomy puncture drainage for the treatmentof parapelvic cyst group1patients is poor because of the puncture site location,puncture bleeding, replacing the puncture point after operation smoothly.2. The average operation time of open operation for the treatment of parapelvic cystgroup (121+38) min is greater than the retroperitoneal laparoscopic parapelviccyst unroofing decompression group (88+26) min, puncture drainage group(45+18) min and flexible ureteroscope for the treatment of parapelvic cyst group(42+15) min,(P＜0.05). Retroperitoneal laparoscopic parapelvic cyst unroofingdecompression group (88+26) min and puncture drainage group (45+18) min andflexible ureteroscope for the treatment of parapelvic cyst group (42±15) mincompared operation time has certain difference. Puncture drainage group (45±18)min with flexible ureteroscope for the treatment of parapelvic cystgroup (42±15) min showed no differences in operation time.3. Hospital stay open surgery group pelvis beside cyst (14±4) days after more thanlaparoscopic parapelvic cyst decompression group (10±3) days, the puncturedrainage group (8±4) days and ureter soft lens treatment pelvis beside cyst group(6±4) days,(P <0.05). Parapelvic after laparoscopic cyst decortication group, thedrainage of the treatment group and the flexible ureteroscope was no significantdifference in blood loss parapelvic cyst volume.4. The total cost of hospitalization of retroperitoneal laparoscopic parapelvic cystdecompression group (1.3±0.6) element was significantly higher than that of openoperation for the treatment of parapelvic cyst group, puncture drainage group,flexible ureteroscope for the treatment of parapelvic cyst group,(P <0.05).Puncture drainage group and flexible ureteroscope for the treatment of parapelviccyst group had no significant difference in total hospital costs.5. Retroperitoneal laparoscopic parapelvic cyst unroofing decompression group,puncture drainage group and flexible ureteroscope for the treatment of parapelviccyst group was no significant complications, open operation for the treatment ofparapelvic cyst group postoperative incomplete intestinal obstruction occurred3columns, incision fat liquefaction delayed healing in5columns after operation, there was no difference between.6. All patients were followed up, the clinical symptoms of four groups of patientswere improved, each index is normal, four groups of patients with postoperativerehabilitation is satisfactory, no obvious difference.Conclusion1. Open operation for the treatment of parapelvic cyst operation technology ismature, safe and feasible, can also handle other relevant disease of the kidney inthe operation, but the operation time is long, operation trauma, postoperativerecovery time in patients with slow, stay longer. Retroperitoneal laparoscopicparapelvic cyst decortication technology in recent years has been widely used,operation effect is positive, but for the operator’s technical level, professionalknowledge and operating skills requirement is high, the cost is relatively high,small operation wound, operation and less complications, postoperativerehabilitation faster, shorter, have largely replaced by open operation treatmentparapelvic cyst operation.2. Percutaneous nephrolithotomy puncture drainage for the treatment of parapelviccyst with flexible ureteroscope for the treatment of parapelvic cyst operation modeis a new technology in recent years, with in-depth understanding of parapelviccyst disease, we found that percutaneous nephrolithotomy puncture drainage andflexible ureteroscopy surgery for the treatment of renal preauricular cyst has agood effect, but also has low cost, short operation time, has the advantages ofgood effect of operation.3...