Tranperitoneal Laparoscopic Renal Cyst Decortication: A Single Center Experince

INTRODUCTION: Laparoscopic decortication became a standart procedure for the treatment of renal cysts because of less invasive and has a high success rate. The aim of this study was to present our results of laparoscopic transperitoenal cyst decortication (LTCD). METHODS: The data of 48 patients who underwent LTCD for Bosniak Type 1 renal cyst between December 2012 and June 2016 were retrospectively evaluated. Patient’s age, operation time, cyst size, cyst laterality, postoperative complication rates and postoperative hospital stay were recorded. RESULTS: The mean age of the patients were 55.8 ± 12.2 years. Renal cysts were localizated on the right side in 25 (52%) patients and on the left side in 23 (48%) patients and mean cyst size was 65.83 ± 30.15 mm. Mean operative time was 41.4 ± 5.6 min. There was no intraoperative complications. Clavien grade 1 complication was occured in 5 (10.4%) patients, postoperatively. No recurrence was occured in postoperative first month evaluation. DISCUSSION and CONCLUSION: Our LTCD results are consistent with the literature.

Transperitoneal Laparoskopik Renal Kist Dekortikasyonu: Tek Merkez Deneyimi

GİRİŞ ve AMAÇ: Laparoskopik dekortikasyon böbrek kist tedavisinde minimal invaziv bir prosedür olması, yüksek başarı oranı nedeniyle standart yöntem haline gelmiştir. Çalışmamızın amacı kliniğimizde uygulanan laparoskopik transperitoneal kist dekortikasyon (LTKD) sonuçlarını sunmaktır. YÖNTEM ve GEREÇLER: Aralık 2012 ile Haziran 2016 arasında Bosniak tip 1 renal kist nedeniyle LTKD uygulanan 48 (28 erkek, 20 kadın) hastanın dosyaları retrospektif olarak incelendi. Hasta yaşı, operasyon süresi, kist boyutu, kist tarafı, postoperatif komplikasyon oranları ve hospitalizasyon süreleri kaydedildi. BULGULAR: Ortalama hasta yaşı 55.8 ± 12.2 yıldı. Renal kistlerin 25’i (%52) sağ, 23’ü (%48) sol böbrek yerleşimli ve ortalama kist boyutu 65.83 ± 30.15 mm idi. Ortalama operasyon süresi 41.4 ± 5.6 dakika olarak bulundu. İntraoperatif komplikasyon görülmedi. Postoperatif 5 (%10.4) hastada Clavien grade 1 komplikasyon saptandı. Postoperatif 1. ay kontrollerinde hiçbir hastada nüks tespit edilmedi. TARTIŞMA ve SONUÇ: Böbrek kisti tedavisinde uyguladığımız LTKD sonuçlarımız literatür ile uyumludur.

Kaynakça

1. McHugh K, Stringer DA, Hebert D, Babiak CA. Simple renal cysts in children. Diagnosis and follow up with ultrasound. Radiology 1991; 178:383-5.

2. Hanash KA, Al-Othman K, Mokhtar A, Al- Gamdi A, Aslam M. Laparoscopic ablation of giant renal cyst. J Endourol 2003; 17:781-784.

3. Terada N, Arai Y, Kinukawa N, Terai A. The 10-year natural history of simple renal cysts. Urology 2008;71:7-11.

4. Efesoy O, Tek M, Bozlu M, Doruk HE. Comparison of single-session aspiration and ethanol sclerotherapy with laparoscopic deroofing in the management of symptomatic simple renal cysts. Turk J Urol 2015; 41(1): 14- 9.

5. Caglioti A, Esposito C, Fuiano G, Buzio C, Postorino M, Rampino T, et al. Prevalence of symptoms in patients with simple renal cysts. BMJ 1993; 306: 430-1.

6. Gadelmoula M, Kurkar A, Shalaby MM. The laparoscopic management of symptomatic renal cysts: A single-centre experience. Arab J Urol 2014; 12(2): 173-7.

7. El-Shazly M, Allam A, Hathout B. Laparoscopic decortication of simple renal cysts with omental wadding technique: single-center experience. J Laparoendosc Adv Surg Tech A 2012; 22(9): 886-8.

8. Bosniak MA. The use of the bosniak classification system for renal cysts and cystic tumors. J Urol 1997; 157:1852-3.

9. Ozcan L, Polat EC, Onen E, Cebeci OO, Memik O, Voyvoda B, et al. Comparison between retroperitoneal and transperitoneal approaches in the laparoscopic treatment of Bosniak type 1 renal cysts: a retrospective study. Urol J 2015; 12:2218-22.

10. Hemal AK. Laparoscopic management of renal cystic disease. Urol Clin North Am 2001;28:115- 26.

11. Thwaini A, Shergill IS, Arya M, Budair Z. Longterm follow-up after retroperitoneal laparoscopic decortication of symptomatic renal cysts. Urol Int 2007; 79:352-5.

12. Chung B, Kim J, Hong C, Yang S, Lee M. Comparison of single and multiple sessions of percutaneous sclerotherapy for simple renal cyst. BJU Int 2000; 85(6):626-7.

13. Pearle MS, Traxer O, Cadeddu JA. Renal cystic disease. Laparoscopic management. Urol Clin North Am 2000; 27:661-73.

14. Yang D, Xue B, Zang Y, Liu X, Zhu J, Chen D, et al. A modified laparoendoscopic single-site renal cyst decortication: single-channel retroperitoneal laparoscoic decortication of simple renal cyst. J Laparoendosc Adv Surg Tech A 2013; 23:506-10.

15. Atug F, Burgess SV, Ruiz-Deya G, Mendes- Torres F, Castle EP, Thomas R. Long-term durability of laparoscopic decortication of symptomatic renal cyst. Urology 2006; 68:272-5.

16. Morgan C, Rader D. Laparoscopic unroofing of a renal cyst. J Urol 1992;148:1835-6.

17. Bas O, Nalbant I, Sener NC, Firat H, Yeşil S, Zengin K, et al. Management of renal cysts. JSLS 2015; Jan-Mar;19(1):e2014.00097.

18. Ryu DS, Oh TH. Laparoscopic decortication of large renal cysts: A comparison between the transperitoneal and retroperitoneal approaches. J Laparoendosc Adv Surg Tech A 2009;19(5): 629- 32.

Kaynak Göster