THE RESULTS OF RETROPERITONEAL LAPAROSCOPIC DECORTICATION FOR SYMPTOMATIC RENAL CYSTS
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Abstract
Background: Renal cyst is a common disease of the renal parenchyma. The management options include percutaneous aspiration with or without sclerotherapy, open surgery, and laparoscopic decortication of renal cyst. Laparoscopic renal cyst decortication is a safe and effective method with high success rate. Objectives: To evaluate the result of renal cysts treatment with retroperitoneal laparoscopic decortication. Materials and methods: A prospective study of patients with asymptomatic renal cyst size more than 60mm or symptomatic renal cyst size less than 60mm in their greatest dimension who underwent retroperitoneal laparoscopic decortication were admitted at University of Can Tho Medicine and Pharmacy hospital, Can Tho General hospital, and Can Tho Central General hospital from September 2018 to May 2020. Renal cysts were localized and characterized by ultrasonography and computed tomography. Clinical success rate, radiologic success rate, and complications of procedure were noted. Each patient was reassessed with clinical and ultrasonographic examinations at 3 months postoperatively. Results: Flank pain was common clinical symptom at presentation in all patients. Most of the cysts were located in left kidney (39.4%), in the lower pole (54.6%) and in single cyst (87.9%). The mean cyst diameter was 80.09 ± 27.03 mm. All the patients were class I with the Bosniak classification. The mean operative time was 69.39 ± 16.94 minutes. Operative time in patients with cyst diameter ≥ 60 mm was longer than patients with cyst diameter < 60mm with p= 0.004. Symptomatic success was achieved in 90.1% of patients and radiographic success on ultrasonography was achieved in 84.8%. Conclusion: Retroperitoneal laparoscopic cyst decortication is effective for the treatment of renal cyst. This technique is safe, less invasive, and high success rate.
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Keywords
renal cyst, retroperitoneal laparoscopic cyst decortication
References
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