ĐÁNH GIÁ HIỆU QUẢ CỦA PHẪU THUẬT NỘI SOI CẮT CHỎM NANG THẬN TẠI BỆNH VIỆN E TỪ NĂM 2021 - 2025

Abstract

Objectives: To evaluate the outcome of laparoscopic renal cyst unroofing. Methods: A retrospective, prospective, and descriptive study was conducted on 98 patients who underwent laparoscopic renal cyst unroofing at E Hospital from 2021 to 2025. Results: The mean age of the patients was 63.64 years, with a male-to-female ratio of 56:42. Two cases had a family history of polycystic kidney disease. The most common presenting symptom was flank pain (88.7%). The most frequently observed cyst size ranged from 50 - 100mm (73.5%). Bilateral cysts were found in 41.8% of cases, while 56.1% had solitary cysts. The mean operative time was 45.66 minutes (n = 98), with no significant difference in operative time between the two surgical approaches or cyst locations. The mean drain removal time was 2.68 days, and the average hospital stay was 4.05 days. There was a statistically significant difference in drain removal time and length of hospital stay between the two surgical methods. No cases of organ injury or bleeding complications were reported. Conclusion: Laparoscopic renal cyst unroofing is a safe, minimally invasive procedure with a progressively shorter operative time and a success rate of up to 98%. Post-peritoneal laparoscopic surgery provides excellent cosmetic outcomes. The duration of drainage and hospital stay was reduced by 2 - 3 days compared to previous approaches.