The role of retroperitoneoscopy in the management of simple renal cysts
Küçük Resim Yok
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bayrakol Medical Publisher
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: In this study, we aimed to show that all the Bosniak Type 1 cysts with any localization, size, number or previous surgery can be managed with retroperitoneoscopic decortication in our clinic. Materials and Methods: We incorporated in the study 35 patients that had symptomatic type 1 renal cysts and were treated with retroperitoneoscopic decortication in our clinic between July 2012 and January 2014. A comparative analysis of cyst laterality, localization, and size, operation time, previous surgery was performed. Retroperitoneal space was created by balloon dilator. After an 11-mm optic trocar was inserted, a 10-mm port (dominant hand) and a 5-mm port were inserted under direct vision to become an equilateral triangle. Results: Mean cyst diameter was 84.2 +/- 17.2 mm (56-132 mm). Twenty (57.14%) cases had right, 15 (42.86%) cases had left renal cyst. The mean operation time was 40.1 +/- 11.5 minutes. Four (11.4%) patients had previous surgery, 3 (8.5%) patients had percutaneous aspiration with sclerotherapy before. The mean operative time was 36.6 +/- 8.3 minutes for primary cases, 54.2 +/- 12 minutes for secondary cases and it was statistically longer (p: 0.002). Discussion: Retroperitoneoscopic renal cyst decortication is a safe and fast procedure with the increasing use of laparoscopy. Previous surgery was the factor for longer operation time in our study.
Açıklama
Anahtar Kelimeler
Renal Cysts, Retroperitoneoscopy, Bosniak Type, Decortication
Kaynak
Annals of Clinical and Analytical Medicine
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
11
Sayı
4
