RESULTS OF RETROPERITONEOSCOPIC SURGERY OF SIMPLE RENAL CYST AT BACH MAI HOSPITAL

Lorn Sopheak1,, Nguyễn Minh Tuấn2, Trần Hiếu Học1,2, Trần Mạnh Hùng2, Nguyễn Trường Giang2
1 Hanoi Medical University
2 Bach Mai Hospital

Main Article Content

Abstract

Objective: Description of some clinical, paraclinical characteristics and evaluation of the results of retroperitoneoscopic renal cystectomy. Subjects and methods: Retrospective description of the cases diagnosed simple renal cyst and underwent retroperitoneoscopic simple renal cystectomy at Bach Mai Hospital from January/2020 to June/2021. Results: There were 46 patients who underwent retroperitoneoscopic simple renal cystectomy with an average age of 57.72 ± 14.84 years old (range from 19 to 83 years). Ratio of male/female were 1/1. The flank or back pain were the most common sign which happened in 87% patients. The average diameter in CT scaner of cyst was 77.48±26.53 mm (45-183mm), the size of 50-100 mm and thin cyst wall were 76.1% and 91.3%, respectively. The average diameter in Echography of cyst was 79.17±26.05mm (45-183mm), the size of 50-100 mm and thin cyst wall were 76.1% and 91.3%, respectively. The operative time was 54.74±16.6 minutes. The perioperative accident of bleeding was 2.2%. The complications were post-operative bleeding 4.3%. Median length of hospital stay was 3.22±1.01 days (2-6). Conclusion: The retroperitoneoscopic cystectomy is a safe and effective procedure in the treatment of renal cysts with the low morbidity and excellent result.

Article Details

References

1. Steven Sussman, Sachio T. Cochran, col J J P a (1984). "Hyperdense renal masses: A CT manifestation of hemorrhagic renal cysts". Radiology, 150, 207-211.
2. Trần Chí Thanh (2002). Nghiên cứu chỉ định và kết quả điều trị Nang thận đơn thuần bằng phương pháp soi ổ bụng cắt chỏm nang. Luận văn tốt nghiệp bác sỹ nội trú, Trường Đại Học Y Hà Nội
3. Trần Hiếu Học, Trần Quế Sơn (2017). "Phẫu thuật nội soi cắt chỏm nang thận đơn thuần tại Bệnh viện Bạch Mai.". Tạp chí phẫu thuật nội soi Việt Nam.số1 tập 7 , 24-30.
4. Nguyễn Hoàng Đức, Nguyễn Hoàng Bắc, Trần Lê Linh Phương (2005). "Phương pháp cắt chỏm nang thận nội soi sau phúc mạc và qua phúc mạc". Tạp chí Y học tp Hồ Chí Minh, Phụ bản số 1, Tập 9
5. Efesoy O, Tek M, Bozlu M, et al (2015). "Comparison of single-session aspiration and ethanol sclerotherapy with laparoscopic de-roofing in the management of symptomatic simple renal cysts". Turk J Urol, 41 (1), 14-19.
6. Wiliam W. Roberts R B L, Karen E. Boyle and col. (2001). "Laparoscopic ablation of symptomatic parenchymal and peripelvic renal cysts". Urology, 58 , 165-169.
7. Lutter I, Weibl P, Daniel I, et al (2005). "Retroperitoneoscopic approach in the treatment of symptomatic renal cysts". Bratisl Lek Listy, 106, 366 - 370.
8. Nguyễn Phú Việt, Lê Anh Tuấn, Dương Xuân Hòa, Phạm Duy Hùng (2009) "Điều trị cắt chỏm nang đơn thận bằng phẫu thuật nội soi sau phúc mạc. 40 trường hợp". Tạp chí Y dược học quân sự, số 8, tr 1-14.