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A Comparison of the Clinical Outcome between Retroperitoneal Laparoscopic and Open Cyst Decortication for Autosomal Dominant Polycystic Kidney Disease

Author: ShaoSiHai
Tutor: WangShuo
School: Zhejiang University
Course: Surgery
Keywords: autosomal dominant polycystic kidney disease Laparoscopy cyst decortication Treatment outcome
CLC: R699
Type: Master's thesis
Year: 2008
Downloads: 33
Quote: 0
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Abstract


Objective:To assess the clinical value of retroperitoneal laparoscopic cyst decortication as compared and open cyst decortication for autosomal dominant polycystic kidney disease.Methods:The clinical data(demographic,intraoperative,postoperative and midterm follow-up data)for 25 patients who underwent retroperitoheal laparoscopic cyst decortication were retrospectively compared with those for 29 patients who underwent open cyst decortication through a retroperitoneal flank.Approach:Student-test,Pearson chi-square test and Mann-Whitey rank sum test were applied for statistical analysis as appropriate.Statistical significance was defined as P<0.05.Results:Patient demographics were similar between the two groups.In group A,operation time,estimated blood loss,recovery of intestinal function,analgesic requirements,postoperative length of hospital stay are better than those in group B(P<0.01).No intraoperative complications occurred in either group.Incidence of postoperative complications and clinical outcome are equivalent in group A and B(P>0.05).Conclusions:Retropefitoneal laparoscopic cyst decortication is a minimally invasive,safe and effective therapy for autosomal dominant polycystic kidney disease.

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