The preliminary experience of methylene blue assisted laparoscopy in the treatment of renal parapelvic cysts
| Autor: | Qi Wang, Song Li, Shuai Tang, Fang-Min Chen, Ming-Hao Zhang, Xiao-Guang Zhang, Kai Li, Da-Hai Yu, Zhen Ma |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology lcsh:Medicine Diseases urologic and male genital diseases Article 03 medical and health sciences chemistry.chemical_compound Medical research 0302 clinical medicine Urinary Fistula medicine Humans Kidney Pelvis Cyst lcsh:Science Laparoscopy Saline Aged Multidisciplinary medicine.diagnostic_test business.industry lcsh:R Kidney Diseases Cystic Middle Aged Decortication medicine.disease Surgery Methylene Blue medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis Female lcsh:Q Retrograde ureteral business Renal pelvis Methylene blue |
| Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-6 (2020) Scientific Reports |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-020-76006-4 |
| Popis: | Renal cyst is a common disease in humans and laparoscopic renal cyst decortication is the gold standard for treatment. However, specialized surgical skills are required for the treatment of renal parapelvic cysts. In this study, we describe an improved laparoscopic method for the treatment of renal parapelvic cysts involving the use of continuous infusion of methylene blue. Sixteen patients with renal parapelvic cyst were enrolled in this study. All patients underwent retrograde ureteral catheterization, with continuous perfusion of the renal pelvis using a solution of 0.2% methylene blue and saline, during laparoscopic decortication of the parapelvic cyst. In one patient, the cyst communicated with the renal collection system which was injured, but this was immediately repaired intraoperatively. All operations were successful, and none was converted to open surgery. There were no occurrences of persistent urinary fistula, bleeding, or other complications postoperatively. All patients were followed-up for 3–24 months, and results of postoperative imaging investigations revealed that all of our patients experienced either complete recovery or a greater than 50% decrease in size of the cysts. Our study demonstrates that methylene blue-assisted laparoscopic treatment is a safe, effective and practical method for the treatment of renal parapelvic cysts. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|