Laparoscopic deroofing of symptomatic renal cysts in Al-Jumhoori teaching hospital Mosul city

ABSTRACT

Laparoscopy offers a safe and efficacious means of ablating symptomatic simple renal cysts with the benefits of shorter hospital stay, quicker convalescence, and reduced postoperative pain. We evaluated the safety and efficacy of laparoscopic cyst deroofing during our early experience in laparoscopic urology work. To present the outcome of laparoscopic management of symptomatic simple renal cysts in Mosul Urologic Center. Between April 2010 and September 2013, 16 patients [had 19 cysts], with male to female ratio of 11.6, were underwent laparoscopic deroofing of symptomatic simple renal cysts at urologic theatre in Al-Jumhoori Teaching Hospital in Mosul and their data were collected and analyzed. All procedures were carried out by transperit-oneal approach. Patients underwent clinical review and radiological follow up with ultrasonography +/- computerized tomography. Success rate was defined as no recurrence of the cyst and significant pain relief. All 16 procedures were completed laparoscopically, without major complications or conversion to open surgery. Estimated mean blood loss during and after surgery was about 119.6 ml and the mean operating time was 48.8 minutes. Patients were hospitalized for a mean of 1.4 days. Five patients developed postoperative fever, and one had incomplete clearance of all cysts. After a mean radiological and clinical follow up of 12 and 23 months respectively, one patient had symptomatic and one had radiologic failure [6.25% and 5.3% respectively]. Cytological and pathological findings for malignancy or any other abnormalities were negative in all patients. Laparoscopic transperitoneal deroofing of simple renal cysts represents an effective and safe method of treatment with minimal morbidity