Safety and Feasibility of Single-Port Nephroscopy Combined with a Needle Electrode Technique to Treat Dorsal Simple Renal Cysts.

IF 1.5 4区 医学 Q3 UROLOGY & NEPHROLOGY Urologia Internationalis Pub Date : 2024-01-01 Epub Date: 2024-03-27 DOI:10.1159/000538381
Hao Yang, Weiyang Wei, Qi Wang, Linfeng Li, Qisheng Lin, Hongxing Huang, Yaqiang Huang
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Abstract

Introduction: The aim of this study was to explore the safety and feasibility of single-port nephroscopy combined with a needle electrode technique to unroof single dorsal simple renal cysts (SRCs).

Methods: This was a retrospective analysis of the clinical data for 18 patients with single dorsal SRCs treated with single-port nephroscopy and a needle electrode technique at Zhongshan City People's Hospital from August 2021 to August 2022. The basic information included the cyst condition, surgical methods and recurrence rate, and follow-up was conducted with CT imaging.

Results: The surgery was successful in all 18 patients. The duration of surgery ranged from 24 to 46 min, with an average of 35.83 ± 1.62 min; the intraoperative bleeding volume ranged from 2 to 20 mL, with an average of 9.0 ± 1.3 mL; and the visual analog scale (VAS) score within 24 h after surgery ranged from 1 to 6 points, with an average of 2.72 ± 0.36 points. There were no significant postoperative complications, such as bleeding, urinary fistula, or infection. All drainage tubes were removed on the first day after surgery. After 1 year of postoperative follow-up, 1 patient experienced recurrence, for a recurrence rate of 5.6%.

Conclusion: Single-port nephroscopy combined with a needle electrode technique is a safe, feasible, and effective minimally invasive surgical approach for treating single dorsal SRCs.

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单孔肾镜结合针电极技术治疗背侧 SRC 的安全性和可行性。
目的 探讨单孔肾镜联合针电极技术疏通单侧背单纯性肾囊肿(SRCs)的安全性和可行性。方法 回顾性分析 2021 年 8 月至 2022 年 8 月中山市人民医院采用单孔肾镜联合针电极技术治疗的 18 例单肾背单纯性肾囊肿患者的临床资料。基本信息包括囊肿情况、手术方法和复发率,并通过 CT 图像进行随访。结果 18 例患者均手术成功。手术时间为 24-46 分钟,平均为(35.83±1.62)分钟;术中出血量为 2-20 毫升,平均为(9.0±1.3)毫升;术后 24 小时内视觉模拟量表(VAS)评分为 1-6 分,平均为(2.72±0.36)分。术后无明显并发症,如出血、尿瘘或感染。所有引流管均在术后第一天拔除。术后随访一年,一名患者复发,复发率为 5.6%。结论 单孔肾镜结合针电极技术是治疗单个背侧 SRC 的一种安全、可行且有效的微创手术方法。
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来源期刊
Urologia Internationalis
Urologia Internationalis 医学-泌尿学与肾脏学
CiteScore
3.30
自引率
6.20%
发文量
94
审稿时长
3-8 weeks
期刊介绍: Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.
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