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. 2014 Jun;12(2):173-7.
doi: 10.1016/j.aju.2013.12.001. Epub 2014 Jan 27.

The laparoscopic management of symptomatic renal cysts: A single-centre experience

Mohamed Gadelmoula  1 , Adel KurKar  1 , Mahmoud M Shalaby  1
Affiliations

The laparoscopic management of symptomatic renal cysts: A single-centre experience

Mohamed Gadelmoula et al. Arab J Urol. 2014 Jun.

Abstract

Objectives: To present our experience of treating symptomatic renal cysts by different techniques of laparoscopic decortication, as there are many treatment options for such cysts, each of them with advantages and drawbacks.

Patients and methods: Between January 2002 and December 2012, 51 patients underwent laparoscopic renal-cyst decortication; 15 of them had recurrent cysts after percutaneous aspiration. A retroperitoneal approach was adopted in 44 cases, transperitoneal in four and laparo-endoscopic single-site surgery (LESS) cyst decortication in three (two of them had bilateral renal cyst decortications in the same session). All patients were diagnosed by ultrasonography and computed tomography to determine the Bosniak classification of the cyst. Pain and cyst recurrence were assessed during the follow-up.

Results: All procedures were completed successfully, with no major intraoperative complications. The mean (range) operative duration was 56 (35-125) min, affected by the site and number of cysts unroofed. All patients were symptom-free except one, who had a recurrent large cyst, anteriorly located, and who underwent open cyst decortication.

Conclusions: Laparoscopic decortication of symptomatic renal cysts should be the standard of care, especially after failed percutaneous aspiration or decortication. LESS cyst decortication is a promising technique, especially with bilateral pathology. It is feasible with conventional laparoscopic instruments and gives a better cosmetic outcome.

Keywords: LESS, laparo-endoscopic single-site surgery; Laparo-endoscopic single-site surgery; Laparoscopic decortication; Renal cyst.

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Figures

Figure 1
Figure 1
Aspiration and decortication of a posterior mid-zonal intrarenal simple cyst through the retroperitoneal approach.
Figure 2
Figure 2
The technique used for single-site, multiple trocar LESS.
Figure 3
Figure 3
The wound after LESS, showing the emerging drain.
None
See this image and copyright information in PMC

References

    1. Hanash K.A., Al-Othman K., Mokhtar A., Al-Ghamdi A., Aslam M. Laparoscopic ablation of giant renal cyst. J Endourol. 2003;17:781–784. - PubMed
    1. McHugh K., Stringer D.A., Hebert D., Babiak C.A. Simple renal cysts in children. Diagnosis and follow up with ultrasound. Radiology. 1991;178:383–385. - PubMed
    1. Rane A. Laparoscopic management of symptomatic simple renal cysts. Int Urol Nephrol. 2004;36:5–9. - PubMed
    1. Hulbert J.C. Laparoscopic management of renal cystic disease. Semin Urol. 1992;10:239–241. - PubMed
    1. Liu C., Pan B., Zheng S., Xu A. Laparoendoscopic single-site surgery for symptomatic renal cyst decortication using a homemade glove port device: initial experience. Urol Int. 2012;89:180–184. - PubMed

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