Retroperitoneoscopic Managementof Infected  Cysts in Adult Polycystic Kidney Disease

Hemal, Ashok K.; Gupta, Narmada P.; Rajeev, T P; Aron, Monish; Bhowmik, D; Jain, Rajeev

doi:10.1159/000030354

Cited by 21 publications

(19 citation statements)

References 17 publications

(19 reference statements)

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“…The retroperitoneoscopic approach offers various advantages over a transperitoneal one [24,27,29], including direct approach to kidney without having to mobilize the colon; no violation of peritoneal cavity; closer proximity to the conventional open approach; and avoidance of spillage into the peritoneum, which is particularly important when infection is suspected or anticipated.…”

Section: Retroperitoneoscopic Approachmentioning

confidence: 99%

Surgical Management of Renal Cystic Disease

Agarwal

Hemal

2010

Curr Urol Rep

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The kidney is one of the most common sites for cyst in the body (prevalence about 5%). Symptomatic or incidental cyst needs to be characterized further based on Bosniak classification as simple (Bosniak type I & II) or complex (Bosniak type III & IV) cysts with respect to risk of malignancy or other effects on the kidney. The management of simple cysts is entirely for its symptoms or complications (eg, hemorrhage, infection, hydronephrosis, and hypertension). Percutaneous aspiration alone or with sclerotherapy often is the first-line treatment. Surgical decortication generally is reserved for recurrent or very large symptomatic cysts. Laparoscopic surgery is highly efficacious and is associated with high satisfaction rates with minimal morbidity. Retroperitoneal approach is generally preferred, especially in infected or hydatid renal cyst to avoid spillage or contamination of virgin peritoneal cavity. Cyst decortication seems to be an appropriate indication for newer-emerging single-port laparoscopic approaches such as natural orifice transluminal endoscopic surgery, single-incision laparoscopic surgery, or laparoendoscopic single-site surgery. Where available, robot-assisted surgical management can supplant pure laparoscopic management for complex cysts, hydatid cyst, peripelvic cyst, and autosomal dominant polycystic kidney disease without any outstanding benefits, but with added cost, when robot is used.

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Section: Retroperitoneoscopic Approachmentioning

confidence: 99%

Surgical Management of Renal Cystic Disease

Agarwal

Hemal

2010

Curr Urol Rep

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“…Laparoscopic cyst decortication often is used in polycystic kidneys in case of pain or hypertension. It is not unusual to find infected cysts in such patients [23]. Nadu et al [24] reported the case of a patient who underwent a heart transplant and had Aspergillus-infected polycystic kidney.…”

Section: Postoperative Fluid Collectionsmentioning

confidence: 99%

Justification of extraperitoneal laparoscopic access for surgery of the upper urinary tract

et al. 2004

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Laparoscopic surgery was originally developed by gynecologists and general surgeons. Based on their experience, the first successful laparoscopic procedures in urology were performed transperitoneally. However, this novel technique transformed traditionally retroperitoneal procedures into transperitoneal procedures, giving free rein to distinct intraperitoneal complications. Retroperitoneal laparoscopy was a later development in urology. This approach has gained increasing popularity throughout the years and has challenged the transperitoneal laparoscopic route in many aspects. This review focuses on the advantages of retroperitoneal laparoscopic surgery of the upper urinary tract.

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“…As such, percutaneous cyst aspiration and laparoscopic cyst decortication and drainage have both been reported as successful treatment modalities in patients with simple and ADPKD renal cysts [7,20]. In the latter condition, infected cysts may be dicult to identify based on ultrasound or CT scan, due to the large number and heterogeneous appearance of the renal cysts.…”

Section: Managementmentioning

confidence: 99%

Laparoscopic management of renal cystic disease

Dunn

Clayman

2000

World J Urol

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Renal cystic disease, ranging from simple cysts to autosomal dominant polycystic kidney disease (ADPKD), can lead to significant complications such as pain, hypertension, infection, upper urinary tract obstruction, and even renal failure. For patients with preserved renal function, laparoscopic ablation of renal cysts is a recent, though safe and effective alternative to open surgery in patients who have failed conservative measures. Likewise, for symptomatic patients with renal failure, laparoscopic nephrectomy offers a less invasive option to open nephrectomy. Both laparoscopic cyst decortication and laparoscopic nephrectomy offer patients the benefits of minimal intraoperative blood loss, minimal postoperative pain, brief hospital stay, and rapid convalescence while offering a short-term outcome equivalent to open surgery. Further study and follow-up are indicated to assess the long-term effect of these procedures on the outcome of ADPKD with regard to durability of pain relief, preservation of renal function, and impact on renal hypertension.

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Retroperitoneoscopic Managementof Infected Cysts in Adult Polycystic Kidney Disease

Cited by 21 publications

References 17 publications

Surgical Management of Renal Cystic Disease

Surgical Management of Renal Cystic Disease

Justification of extraperitoneal laparoscopic access for surgery of the upper urinary tract

Laparoscopic management of renal cystic disease

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