当前位置： SCI文献检索 > JOURNAL OF ENDOUROLOGY期刊下所有文献 > Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results.

Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results.

Abstract：

BACKGROUND AND PURPOSE:Retrograde ureteroscopic marsupialization is a pure natural orifice translumenal endoscopic surgery (NOTES). We retrospectively examined the feasibility and safety of this technique to manage symptomatic simple renal cysts. PATIENTS AND METHODS:Sixteen patients with simple renal cysts were selected and treated by incising the cyst wall to drain into the collecting system through retrograde ureteroscopy. A retrospective observational study was performed to evaluate the patient's symptomatic and radiologic results after ureteroscopic marsupialization. Symptomatic success based on pain relief was evaluated using a visual analog pain scale preoperatively and postoperatively. Radiologic success was defined as no recurrence of the cyst or a reduction in cyst size by at least half. RESULTS:There were no intraoperative or postoperative complications observed. The mean operative time was 35 minutes (range 20-50 min). The mean hospital stay was 3.4 days (range 2-5 d). Of the 16 patients, one patient was lost at follow-up. The symptoms based on pain had resolved in 13 (83%) cases but remained in 2 cases at a mean follow-up of 24.2 months (range 6-36 mos). The average visual analog pain scale decreased from 6.7 (range 4-9) to 1.1 (range 0-5) at the sixth month. The mean size of all cysts decreased from 6.8 cm (range 4-10 cm) to 1.3 cm (range 0-5 cm). Radiographic success was achieved in 93% (14/15) of patients. Cytology and cyst wall pathology reports revealed no evidence of malignancy. CONCLUSIONS:Retrograde ureteroscopic marsupialization is a complete transurethral NOTES marsupialization. With appropriate patient selection, the minimally invasive retrograde ureteroscopic marsupialization is feasible, safe, and effective. It can be preferred to more invasive laparoscopic or open surgical approaches.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Li EC,Hou JQ,Yang LB,Yuan HX,Hang LH,Alagirisamy KK,Li DP,Wang XP

doi

10.1089/end.2009.0676

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

75-80

issue

eissn

0892-7790

issn

1557-900X

journal_volume

pub_type

杂志文章

在线工具

Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results.