Renal cystectomy is divided into two kinds of open surgery and minimally invasive surgery. However, laparoscopic renal cystectomy is mostly used in clinical practice nowadays. The specific surgical method depends on the patient’s condition.
Laparoscopic renal cystectomy can be divided into transabdominal renal cyst decortication and transabdominal posterior route surgery.
1. Transperitoneal renal cyst decortication: first, puncture, artificial pneumoperitoneum and place a trocar, then incise the posterior peritoneum of the lateral aspect of the ascending (descending) colon, expose the renal cyst to incise the wall of the cyst, and suction out the cystic fluid. Finally, the cyst wall was excised circumferentially at a distance of 0.5 cm from the renal parenchyma, and after checking that there was no bleeding, the laparoscope, manipulator and trocar were withdrawn one by one, and the puncture holes were sutured.
2. Surgery via retroperitoneal route: design the position of trocar needle, establish retroperitoneal operation gap, and finally renal cyst separation and cyst wall resection.
Laparoscopic renal cystectomy has the advantages of small trauma, fast recovery, good efficacy, short hospitalization time, etc., and is widely used in clinical practice. However, it is not applied to those who have serious bleeding and whose general condition is difficult to tolerate.
If you need to have renal cystectomy, you should go to a regular hospital in time and actively cooperate with the doctor to make a treatment plan, so as not to miss the best time for treatment.