Retroperitoneal decortication of simple renal cysts vs decortication with wadding using perirenal fat tissue: results of a prospective randomized trial

Porpiglia, Francesco; Fiori, Cristian; Billia, Michele; Renard, Julien; Stasio, A. Di; Vaccino, D.; Bertolo, Riccardo; Scarpa, R.M.

doi:10.1111/j.1464-410x.2008.08294.x

Cited by 29 publications

(22 citation statements)

References 25 publications

(31 reference statements)

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“…This agrees with other series reporting less recurrence rate with this technique. 2 We encountered some difficulties in dissection of the Gerota's facia and excision of cyst wall in our three cases that had sclerotherapy. This can explain the longer mean operative duration in these cases.…”

Section: Discussionmentioning

confidence: 92%

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Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single Center Experience

El-Shazly¹,

Allam²,

Hathout³

2012

WJOLS

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Objectives:The aim is to study the outcome of laparoscopic decortication of symptomatic simple renal cyst with omental wadding technique in a single center.Methods: This is a retrospective study of 16 consecutive patients who underwent transperitoneal laparoscopic decortication of symptomatic simple renal cyst with omental wadding technique between November 2007 and November 2011. The indication for surgery was for relief of pain in all cases. Pain was assessed preoperatively and 1 and 6 months postopertively using numerical rating pain scale. All cysts were more than 10 cm in its greatest dimension. Laparoscopic decortication was the primary treatment in 13 cases and the secondary treatment in three cases after sclerotherapy. We used the omental wadding technique to decrease the incidence of recurrence. We reviewed the preoperative and postoperative data. Results:The operation was successfully completed laparoscopically in all cases with a mean operative time of 95 minutes without major perioperative complications. Hospital stay was 2.4 days (range, 2 to 4 days). Fifteen cases improved significantly after operation in a mean follow-up of 1.5 year. One case only had radiological recurrence after 6 months postoperatively.Conclusion: Laparoscopic decortication of large simple renal cysts is an efficacious, safe and less invasive method of treatment. Omental wadding is helpful to decrease the incidence of cyst recurrence. Laparoscopic decortication is recommended as a primary treatment for huge cysts or as a secondary treatment after treatment failure with sclerotherapy.

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Section: Discussionmentioning

confidence: 92%

“…The main presentation is flank pain, occasionally patients may present with hematuria, hypertension or UTI. [2][3][4] A simple benign cyst (Bosniak I) has a thin wall without septations, calcification or solid components. Its density measures like water and does not show enhancement with contrast material.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single Center Experience

El-Shazly¹,

Allam²,

Hathout³

2012

WJOLS

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“…[13][14][15][16] The wadding technique can be achieved through a retroperitoneal approach using perirenal fat or through a transperitoneal approach using omentum or perirenal fat. 2,15 The transperitoneal approach with the omental wadding technique has the advantage of larger working space and availability of the omentum to wad the big cavities remaining after decortication of huge cysts that may be difficult to be filled with perirenal fat.…”

Section: Discussionmentioning

confidence: 99%

“…The main presentation is flank pain, but occasionally patients may present with hematuria, hypertension, or urinary tract infection. [2][3][4] The ideal primary management is sclerotherapy, especially for relatively small simple renal cysts (less than 10 cm in their greatest dimension). 5 It is a minimally invasive and safe procedure, and it is frequently performed to treat these patients.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single-Center Experience

El-Shazly

Allam²,

Hathout³

2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Prevalansı ilerleyen yaşlarda artmakla birlikte toplumda %7-10 olarak bildirilmekte ve erkeklerde iki kat daha fazla görülmektedir (1,2). Çoğu kez asemptomatik olmalarına rağmen böbrek kistleri, hastalarda ağrı, hipertansiyon, hematüri, obstrüksiyon veya kist rüptürü gibi semptomlara sebep olabilmektedir (3,4). Semptomatik böbrek kistlerinin tedavisinde perkütan aspirasyon, sklerozan madde injeksiyonu ya da açık veya laporoskopik cerrahi seçenekleri uygulanmaktadır (5,6).…”

Section: Introductionunclassified

Retroperitoneal Laparoscopic Cyst Decortication In the treatment of symptomatic Simple renal cysts

Aydemi̇r¹,

Budak²,

Köse³

et al. 2013

Tepecik Dergisi

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ÖZETAmaç: Bu çalışmada, kliniğimizde semptomatik basit böbrek kistlerinin retroperitoneal laparoskopik yöntem ile tedavisinin sonuçlarını değerlendirdik. Gereç ve Yöntem:Ocak 2011 ve Temmuz 2013 tarihleri arasında semptomatik böbrek kisti nedeniyle retroperitoneal laparoskopik kist dekortikasyonu uyguladığımız 35 hastanın kayıtları incelendi. İzlem süresi yetersiz ya da izlem dışı olan üç hasta çalışma dışı bırakıldı. Hastalar cinsiyet, yaş, semptom, kist yerleşimi, kist büyüklüğü, operasyon süresi, hastanede kalış süresi ve komplikasyon yönüyle değerlendirildi. Bulgular:Hastaların ortalama yaşları 58.43 (±12,9) yıl, 10'nu (%31,2)kadın, 22'si (% 68,8) erkek idi. En sık semptom yan ağrısıydı. Ortalama kist çapı 78.34 (±16.94) mm olarak tespit edildi. Bütün hastalara retroperitoneal yaklaşım uygulandı. Kistlerin 14'ü (%43,7) sağ böbrekte, 18'i (% 56,3) ise sol böbrekte idi. Ortalama hastanede kalış süresi 1,23 (±0.45) gün olup, ortalama operasyon süresi 72.80 (±7.58) dakika olarak gerçekleşti. Bir hastada hemorajik vizyon nedeniyle açık cerrahi yapılmak zorunda kalındı. Bütün kistler Bosniak tip1 ve 2 olarak sınıflandırılmış olup patolojik incelemelerinde malinite bulgusuna rastlanmadı. Hastaların postoperatif 3.ncü ay ultrasonografik kontrollerinde kiste rastlanmadı. Semptomatik başarı oranı %84, radyolojik başarı oranı ise %100 olarak tespit edildi.Sonuç: Basit böbrek kistlerinin tedavisinde, retroperitoneal laparoskopik yöntem, minimal invaziv, güvenli ve etkin bir seçe-nektir. Ayrıca retroperitoneal yaklaşım karıniçi organ yaralanması veya peritonit gibi komplikasyonlardan kaçınılmasını sağ-lar.

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Retroperitoneal decortication of simple renal cysts vs decortication with wadding using perirenal fat tissue: results of a prospective randomized trial

Cited by 29 publications

References 25 publications

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single Center Experience

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single Center Experience

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single-Center Experience

Retroperitoneal Laparoscopic Cyst Decortication In the treatment of symptomatic Simple renal cysts

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