Management of renal cysts


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Bas O., NALBANT İ., Sener N. C., Firat H., YEŞİL S., Zengin K., ...More

Journal of the Society of Laparoendoscopic Surgeons, vol.19, no.1, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.4293/jsls.2014.00097
  • Journal Name: Journal of the Society of Laparoendoscopic Surgeons
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Renal cyst, Laparoscopy, Sclerotherapy, LAPAROSCOPIC DECORTICATION, ETHANOL SCLEROTHERAPY, ASPIRATION, DISEASE, EXPERIENCE, ALCOHOL, MASSES
  • Lokman Hekim University Affiliated: No

Abstract

© 2015 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. Published by the Society of Laparoendoscopic Surgeons, Inc.Background and Objectives: Renal cysts have a high prevalence in the general population, and their estimated incidence increases with age. Renal cyst aspiration (usually with sclerotherapy) or open/laparoscopic decortication is a generally effective and safe method in the treatment of symptomatic simple renal cysts. The success rates of laparoscopic decortication and percutaneous aspiration- sclerotherapy were compared to assist in the decision making for the procedure. Methods: A total of 184 patients with symptomatic simple renal cysts were treated with either laparoscopic decortication in 149 cases or percutaneous aspiration-sclerotherapy in 35 cases. The follow-up period was approximately 35 months, and the symptomatic and radiologic success rates of the 2 techniques were compared retrospectively. Results: Laparoscopic decortication was found to have high success rates, a low recurrence rate, and minimal morbidity. Percutaneous aspiration-sclerotherapy is an outpatient procedure with a minimally higher recurrence rate. Conclusion: When a symptomatic cyst is encountered and treatment of the cyst is indicated, laparoscopic decortication is a more efficient method that offers better results than percutaneous aspiration-sclerotherapy.