Laparoscopic management of symptomatic renal cysts

ABSTRACT

Simple renal cysts are common, with incidence increasing with age. Symptomatic renal cysts have traditionally been initially treated by percutaneous aspiration with or without injection of sclerosant agents; however, this has a high rate of recurrence.Open surgical cyst decortication for pain relief through a flank or chevron incision is associated with considerable morbidity and protracted convalescence. To assess the efficacy of laparoscopic Surgery in the treatment of symptomatic simple renal cysts. Renal cysts are common in the adult population. From April 2007 to July 2009, ll patients [7 males and 4 females] underwent laparoscopic decortications of symptomatic simple renal cysts with renal cyst wall excision and figuration of the epithelial lining. Complex renal cysts were excluded. The Wong-Baker pain scale was used to assess the preoperative and postoperative pain scores. Radiologic success was indicated as no recurrence on the most recent computed tomography scan. Of the 11 procedures were completed laparoscopically, the mean operative time was 100 minutes [range 80 to 120]. Symptomatic and radiographic success was achieved in 90.9% of patients, with a median follow-up of 12 months [range 6 to 18]. Long-term follow-up has confirmed that laparoscopic cyst decortication is an effective and durable treatment option for symptomatic simple renal cysts during long-term follow-up. The greater and durable success rates of this minimally invasive technique may favor this treatment option over other treatment modalities