Fikret HALİS, Hasan Salih SAĞLAM, Ahmet GÖKÇE, Hacı İbrahim ÇİMEN, Hacı Can DİREK

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.

Tranperitoneal Laparoscopic Renal Cyst Decortication: A Single Center Experince

INTRODUCTION: Laparoscopic decortication became astandart procedure for the treatment of renal cysts becauseof less invasive and has a high success rate. The aim of thisstudy was to present our results of laparoscopictransperitoenal cyst decortication (LTCD).METHODS: The data of 48 patients who underwent LTCDfor Bosniak Type 1 renal cyst between December 2012 andJune 2016 were retrospectively evaluated. Patient’s age,operation time, cyst size, cyst laterality, postoperativecomplication rates and postoperative hospital stay wererecorded.RESULTS: The mean age of the patients were 55.8 ± 12.2years. Renal cysts were localizated on the right side in 25(52%) patients and on the left side in 23 (48%) patients andmean cyst size was 65.83 ± 30.15 mm. Mean operative time was41.4 ± 5.6 min. There was no intraoperative complications.Clavien grade 1 complication was occured in 5 (10.4%)patients, postoperatively. No recurrence was occured inpostoperative first month evaluation.DISCUSSION and CONCLUSION: Our LTCD results areconsistent with the literature.

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