LAPAROSCOPIC EVALUATION OF INDETERMINATE RENAL CYSTS

被引:13
作者
BELLMAN, GC [1 ]
YAMAGUCHI, R [1 ]
KASWICK, J [1 ]
机构
[1] SO CALIF PERMANENTE MED GRP,DEPT UROL,LOS ANGELES,CA
关键词
D O I
10.1016/S0090-4295(99)80135-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. To determine the efficacy and safety of laparoscopic evaluation of indeterminate renal cysts. Methods. Ten patients with indeterminate renal cysts (5 Bosniak type II and 5 Bosniak type III) underwent transperitoneal laparoscopic aspiration of cyst fluid for cytologic analysis with examination, biopsy, and excision of the cyst wall and base. Results. All procedures were successful and without complications. All the lesions were benign. Conclusions. Laparoscopic evaluation of indeterminate renal cysts is safe and effective. The procedure alleviates patient anxiety about the nature of the lesion and obviates years of radiologic surveillance, thus reducing costs.
引用
收藏
页码:1066 / 1070
页数:5
相关论文
共 18 条
[1]  
Winfield, Donovan, See, Loening, Williams, Laparoscopic Pelvic Lymph Node Dissection for Genitourinary Malignancies: Indications, Techniques, and Results, Journal of Endourology, 6, (1992)
[2]  
Clayman, Kavoussi, Soper, Albala, Figenshau, Chandhoke, Laparoscopic Nephrectomy: Review of the Initial 10 Cases, Journal of Endourology, 6, (1992)
[3]  
Katoh, Ono, Yamada, Kinukawa, Hattori, Ohshima, Laparoscopic radical nephrectomy for renal cell carcinoma: early experience, J Endourol, 8, (1994)
[4]  
Schuessler, Grune, Tecuanhuey, Preminger, Laparoscopic dismembered pyeloplasty, J Urol, 150, pp. 1795-1799, (1993)
[5]  
Ehrlich, Gershman, Fuchs, Laparoscopic vesicoureteroplasty in children: initial case reports, Urology, 43, pp. 255-261, (1994)
[6]  
Morgan, Rader, Laparoscopic unroofing of a renal cyst, J Urol, 148, pp. 1835-1836, (1992)
[7]  
Rubenstein, Hulbert, Pharand, Schuessler, Vancaillie, Kavoussi, Laparoscopic ablation of symptomatic renal cysts, J Urol, 150, pp. 1103-1106, (1993)
[8]  
Bosniak, The current radiologic approach to renal cysts, Radiology, 158, pp. 1-10, (1986)
[9]  
Aronson, Frazier, Baluch, Hartman, Christenson, Cystic renal masses: usefulness of Bosniak classification, Urol Radiol, 13, pp. 83-90, (1991)
[10]  
Brown, Amis, Kaplan, Blaivas, Axelrod, Renal cystic lesions: predictive value of preoperative computerized tomography (abstract 426), J Urol, 141, (1989)