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Comparison of different surgical in the treatment of simple renal cysts

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Objective To explore and analyze the effect of different surgical in the treatment of simple renal cysts. Methods A total of 108 patients with simple renal cysts in our hospital… Click to show full abstract

Objective To explore and analyze the effect of different surgical in the treatment of simple renal cysts. Methods A total of 108 patients with simple renal cysts in our hospital from June 2014 to July 2016 were selected. All patients were randomly divided into experimental group and control group. In the experimental group, 50 patients were treated with percutaneous renal puncture and absolute alcohol (PAES), and 58 patients in the control group were treated with laparoscopic renal cyst. Postoperative recovery condition, operation effect and the cost of the patients were collected and compared with the statistical analysis. Results There was not statistically significant in age, gender, renal cyst, renal cyst type data between the two groups (P>0.05). The incidence of complications in the two groups was not significantly associated with the rate of surgical treatment and the choice of treatment, and the comparison was not statistically significant (P>0.05). Operation time, the cost of treatment, hospitalization time after surgery and the selected treatment had a certain correlation results, the difference was statistical significant (P<0.05). The postoperative follow-up of two patients for 12 months, the average amount of epispastic bursa fluid in the experimental group was (135±17.9) mL, 99% ethanol injection required average(34±6.4) mL.Extraction of cystic fluid colors of all pa-tients were light yellow or colorless, bacterial culture and cell examination showed no positive control. Postoperative data of follow-up were postoperative cyst without recurrence in 55 cases and relapsed operation in 3 cases. Conclusions For patients with renal cysts, PAES and laparoscopic renal cyst to the top of each have advantages and disadvantages, the specific implementation of the program should be based on the patient's own situation. PAES surgery has advantages of fewer complications, low expense, less pain, quick recovery. And laparoscopic renal cyst removal is applicable to other types of renal cyst patients, including huge renal cysts, multiple renal cysts or malignant patients can not be excluded. If the patient is poor or ineffective by PEAS or the implementation of percutaneous renal puncture is not easy, should be considered to go to the top of the laparoscopic renal cyst. Key words: Kidney Diseases; Cysts; Laparoscopes

Keywords: renal cyst; surgical treatment; treatment; renal cysts; simple renal

Journal Title: International Urology and Nephrology
Year Published: 2017

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