KẾT QUẢ PHẪU THUẬT NỘI SOI SAU PHÚC MẠC CẮT CHỎM NANG THẬN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Renal cysts is a common disease of the urinary system, arising from the kidney parenchyma and not communicating with the transitional tract. Renal cyst needs to be treated in cases of large size, symptomatic cysts or complications. Treatment methods for renal cyst include cyst aspiration, cyst aspiration with sclerosant injection, open surgery, retroperitoneoscopic renal cystectomy. Retroperitoneoscopic renal cystectomy is a safe and effective method with a high success rate. The study was conducted to evaluate the results of cases of renal cyst treatment using retroperitoneoscopic renal cystectomy performed from October 2022 to October 2023 at Hanoi Medical University Hospital. The results showed that the average age was 55.6 years old and male patients accounted for the majority at 57.6%. The main symptom of patients when the disease is detected is lumbar pain (48.49%). There were 12 cases (36.36%) discovered by chance without symptoms. Most patients (87.9%) had cyst sizes between 50-100mm and most had a Bosniak grade of I (75.8%). The average surgery time is 42 minutes, most patients have drainage removed in 2 days after surgery (97%) and almost patients are discharged from the hospital 2 days after surgery (90.9%). Most patients only had to use intravenous pain relief 1 day after surgery (93.9%), and no cases of bleeding through drainage or urine leakage were recorded.