Laparoscopic Marsupialization of Massive Renal Cyst

Nieh, Peter T.; Bihrle, William

doi:10.1016/s0022-5347(17)35426-5

Cited by 23 publications

(9 citation statements)

References 10 publications

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“…The portion of the cyst lying directly on the kidney surface was sealed using a monopolar hook to prevent fluid from being produced by the cyst lining. 3 The cyst edges were sealed and the perirenal fat was placed on the bottom of the cyst (wadding technique). 4,5 Blood loss was minimal.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic treatment of symptomatic simple renal cysts in children: single-center experience

Marte

Pintozzi

2018

Pediatr Med Chir

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Simple renal cysts, although common in adults, are rare in children. They are usually discovered incidentally in the course of the study of other urinary tract symptoms, although they are not always asymptomatic. Renal cysts can be classified as being either simple or complex. The purpose of this review is to present our case series of simple symptomatic renal cysts treated with laparoscopy. Nineteen patients with symptomatic renal cysts (6 to 13.5 cm) were referred to our institution between January 2006 and January 2017. They comprised 12 (40.5%) females and seven (59.5%) males, aged 8 to 15, with a mean age of 12.2 years. Of these patients, nine had previously been treated unsuccessfully by ultrasound-guided aspiration/alcoholization with 95%-ethanol, between 9 and 13 months prior to the laparoscopy. Five patients had undergone one treatment and four had undergone two treatments. All of the patients were treated by laparoscopic threetrocar deroofing. The cysts were opened and the wall excised using scissors and a monopolar hook. In most cases, to better handle the edges of the cyst and obtain a better grip, a needle was used to aspirate a small amount of fluid (used for cytological examination). The wall of the cyst was excised, the cyst edges were sealed, and the perirenal fat was placed on the bottom of the cyst (wadding technique). The mean operating time was 95 minutes (range 50- 150). The postoperative course was uneventful for all of the patients. The hospital stay ranged from one to three days. All of the patients were asymptomatic following the treatment. At a mean follow-up time of 3.6 years, none of the patients had experienced a recurrence. Renal function, as assessed by a MAG3 renal scintigraphy scan, was well-preserved in all of the patients, and all of them undergo an annual ultrasound scan.

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Section: Methodsmentioning

confidence: 99%

Laparoscopic treatment of symptomatic simple renal cysts in children: single-center experience

Marte

Pintozzi

2018

Pediatr Med Chir

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“…59 Open surgical cyst unroofing is associated with a morbidity of 8 to 16%, and the hospital stay averages up to 9 days for this procedure. 32,60 This has largely been supplanted by laparoscopic unroofing, which is much less invasive, [60][61][62][63] but also requires hospitalization up to 3 days. 64 Laparoscopic unroofing is done through either a transperitoneal or retroperitoneal approach depending on cyst location.…”

Section: Surgical Therapy Of Cystsmentioning

confidence: 99%

Renal Cysts and Urinomas

Lee

Darcy

2011

Semin intervent Radiol

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Renal cysts are a common imaging finding. Although most cysts never have symptoms, some cause pain, collecting system compression, hematuria, hypertension, and secondary infection. The mere presence of a cyst is not an indication for intervention, but treatment may be indicated in symptomatic patients or those with secondary obstruction. Urinomas generally are a contained collection of urine outside of the normal pathways where urine travels. As such, urinomas can arise anywhere from the upper abdomen down into the low pelvis and have a variety of etiologies. Ureteral obstruction with forniceal rupture and trauma (blunt, penetrating, or iatrogenic) are the most common causes of urinomas. When urinomas arise spontaneously, the likely cause varies with the patient's age. Blunt or penetrating trauma can cause perinephric urinomas by two mechanisms-direct disruption of the pelvis or collecting system or by degeneration of nonviable tissue. These urinomas are often perinephric, but can also occur in a subcapsular location. This review will discuss diagnosis, classification, and treatment of renal cysts and urinomas.

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“…Laparoscopic adrenalectomy was initially applied in 1992 by Gagner et al ( 7 , 8 ). Thanks to developments in imaging modalities, and popularization of minimally invasive interventions, laparoscopic intervention for renal cysts has taken its place among treatment modalities ( 9 ). The greatest disadvantages of laparoscopic surgery which has been introduced with a dazzling speed into urology practice for the last 20 years consist of its higher cost, and longer learning curve.…”

Section: Introductionmentioning

confidence: 99%

Should oncological cases of upper urinary system be excluded at the beginning of the laparoscopic learning curve?

et al. 2015

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Purpose:The place of oncological cases of upper urinary system in the laparoscopic learning curve was investigated.Materials and Methods:A total of 139 patients from two different centers underwent laparoscopic operations and were included in this retrospective study.Results:Mean operative times for oncological, and non-oncological cases were 101.3 (range 60-450), and 102.7 (45-490) minutes respectively. Fourty-two (31.3 %) patients were oncological cases. In 4 oncological cases, the surgeons switched to open surgery because of massive bleeding and six (14.2 %) oncological cases required blood transfusions during peri/postoperative periods. Pulmonary embolism was observed in one oncological case. In one non-oncological case, the surgeon switched to open surgery because of intestinal perforation and 10 (9.7 %) non-oncological cases needed blood transfusions during peri/postoperative periods. In addition, some complications such as intestinal perforation (n=1), mechanical ileus (n=1), and pulmonary embolism (n=1) were observed during postoperative period. Intestinal perforation was repaired using laparoscopic (n=1) method. Mechanical ileus was approached with open surgical technique. Mean hospital stay of the patients in the oncological and non-oncological series were 4.5 (3-23) and 4.5 (3-30) days respectively.Conclusion:We think that renal oncological cases should be included in the spectrum of laparoscopic indications even at the beginning of the learning curve. Certainly, we still share the opinion that cancer cases which require highly challenging surgeries like radical cystectomy, and prostatectomy should be postponed till to gaining of higher level of experience.

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Laparoscopic Marsupialization of Massive Renal Cyst

Cited by 23 publications

References 10 publications

Laparoscopic treatment of symptomatic simple renal cysts in children: single-center experience

Laparoscopic treatment of symptomatic simple renal cysts in children: single-center experience

Renal Cysts and Urinomas

Should oncological cases of upper urinary system be excluded at the beginning of the laparoscopic learning curve?

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