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The laparoscopic management of symptomatic renal cysts: A single-centre experience
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 u...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434607/ https://www.ncbi.nlm.nih.gov/pubmed/26019944 http://dx.doi.org/10.1016/j.aju.2013.12.001 |
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author | Gadelmoula, Mohamed KurKar, Adel Shalaby, Mahmoud M. |
author_facet | Gadelmoula, Mohamed KurKar, Adel Shalaby, Mahmoud M. |
author_sort | Gadelmoula, Mohamed |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4434607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-44346072015-05-27 The laparoscopic management of symptomatic renal cysts: A single-centre experience Gadelmoula, Mohamed KurKar, Adel Shalaby, Mahmoud M. Arab J Urol Laparoscopy / Robotics Original article 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. Elsevier 2014-06 2014-01-27 /pmc/articles/PMC4434607/ /pubmed/26019944 http://dx.doi.org/10.1016/j.aju.2013.12.001 Text en © 2014 Production and hosting by Elsevier B.V. on behalf of Arab Association of Urology. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Laparoscopy / Robotics Original article Gadelmoula, Mohamed KurKar, Adel Shalaby, Mahmoud M. The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title | The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title_full | The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title_fullStr | The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title_full_unstemmed | The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title_short | The laparoscopic management of symptomatic renal cysts: A single-centre experience |
title_sort | laparoscopic management of symptomatic renal cysts: a single-centre experience |
topic | Laparoscopy / Robotics Original article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434607/ https://www.ncbi.nlm.nih.gov/pubmed/26019944 http://dx.doi.org/10.1016/j.aju.2013.12.001 |
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