Abstract
Objective: To evaluate the efficacy of retroperitoneoscopy for the treatment of symptomatic renal cyst disease. Patients and methods: We evaluated the efficacy and morbidity of aspiration versus open and laparoscopic surgical techniques in a paired institution over a 20-year period. Prospectively recorded parameters for the 11 cases dealt with by primary retroperitoneoscopic techniques were compared with historical controls dealt with by open surgery. Results: Small volume cysts were satisfactorily dealt with by aspiration alone. All patients undergoing laparoscopic cyst decortication for the larger volume cysts had a satisfactory outcome with improvement in their symptoms and objective cure on follow up imaging studies. Conclusion: Laparoscopic management for all cysts is a safe, effective and minimally invasive alternative to open surgery for symptomatic renal cysts. Simple drainage under radiological guidance is also highly effective and should probably be first line treatment for cysts up to 6 cms in diameter whereas primary laparoscopic treatment should be suggested for larger cysts.
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References
Laucks SP, McLachlen MSF. Aging and simple cysts of the kidney. Br Radiol 1981; 54: 12.
Kissane JM. The morphology of renal cystic disease. In: Gardner KD, ed. Cystic Diseases of the Kidney. New York: John Wiley, 1976: 31.
Wolf JS, Jr. Evaluation and management of solid and cystic renal masses. J Urol 1998; 159: 1120–1133.
Fahlenkamp D, Rassweiler J, Fornara P et al. Complications of laparoscopic procedures in urology: Experience with 2407 procedures at 4 German centres. J Urol 1999; 162: 765.
Gill IS, Clayman RV, Albala DM. Retroperitoneal and pelvic extraperitoneal laparoscopy: An international perspective. Urology 1998; 52: 566.
Santiago L, Yamaguchi R, Kaswick J et al. Laparoscopic management of indeterminate renal cysts. Urology 1998; 52: 379.
Consonni P, Nava L, Scattani V et al. Percutaneous echoguided drainage and sclerotherapy of symptomatic renal cysts: Critical comparison with laparoscopic treatment. Arch Ital Urol Androl 1996; 68: 27.
Goazzoni G, Montorsi F, Bergamschi F. Laparoscopic unroofing of simple renal cysts. Urology 1994; 43: 154.
Roberts WW, Bluebond-Langner R, Boyle KE, Jarrett TW, Kavoussi LR. Laparoscopic ablation of symptomatic and peripelvic renal cysts. Urology 2001; 58(2).
Hemal AK, Gupta NP, Rajeev TP et al. Retroperitoneoscopic management of infected cysts in adult polycystic kidney disease. Urol Int 1999; 62: 40.
Wada T, Kamiryo Y, Tsuchida M et al. Laparoscopic unroofing of a renal cyst. Hinyokika Kiyo 1995; 41: 861.
Gill IS, Clayman RV, Albala DM. Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology 1998; 52: 566.
Bosniak MA. The current radiologic approach to renal cysts. Radiology 1986; 158: 1.
Fontana D, Porpiglia F, Morra I. Treatment of simple renal cysts by percutaneous draining with three repeated alcohol injections. Urology 1999; 53: 904.
Holmberg G, Hietala S. Treatment of simple renal cysts by percutaneous puncture and instillation of bismuth phosphate. Scand J Urol Nephrol 1989; 23: 207.
Hulbert JC, Hunter D, Young AT et al. Percutaneous intrarenal marsupialization of a perirenal cystic collectionendocystolysis. J. Urol 1988; 139: 1039.
Gupta M, Kang Y, Noble C, Gupta M. Percutaneous resection of renal cysts. J Endourol 2001; 15: 735.
Amar AD, Das S. Surgical management of benign renal cyst causing obstruction of the renal pelvis. Urology 1984; 14: 429.
Hemal AK, Aron M, Gupta NP et al. The role of retroperitoneoscopy in the management of renal and adrenal pathology. BJU Int 1999; 83: 929.
Rubenstein CS, Hulbert JC, Pharand D et al. Laparoscopic ablation of symptomatic renal cysts. J. Urol 1993; 150: 1103.
Hoenig DM, McDougall EM, Shalhav AL et al. Laparoscopic ablation of peripelvic renal cysts. J Urol 1997; 158: 1345.
Munch LC, Gill IS, McRoberts JW. Laparoscopic retroperitoneal renal cystectomy. J Urol 1994; 151: 135.
Stanisic TH, Babcock JR, Grayhack JT. Morbidity and mortality of renal exploration for cyst. Surg Gynec Obst 1977; 145: 733.
Rovsing T. Treatment of multilocular renal cyst with multiple punctures. Hospitals tid 1911; 4: 105.
Lifson BJ, Teichman JMH, Hulbert JC et al. Role and longterm results of laparoscopic decortication in solitary cystic and autosomal dominant polycystic kidney disease. J Urol 1998; 159: 702.
Hoenig DM, Leveillee RJ, Amaral JF et al. Laparoscopic unroofing of symptomatic renal cysts: Three distinct surgical approaches. J. Endourol 1995; 9: 55.
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Rané, A. Laparoscopic management of symptomatic simple renal cysts. Int Urol Nephrol 36, 5–9 (2003). https://doi.org/10.1023/B:UROL.0000032669.21924.d1
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DOI: https://doi.org/10.1023/B:UROL.0000032669.21924.d1