Laparoscopic ablation of symptomatic parenchymal and peripelvic renal cysts

Roberts, William W.; Bluebond-Langner, Rachel; Boyle, Karen E.; Jarrett, Thomas W.; Kavoussi, Louis R.

doi:10.1016/s0090-4295(01)01145-1

Cited by 63 publications

(35 citation statements)

References 12 publications

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“…The mean operating times of laparoscopic renal cyst surgery in previously published series, in which other surgical coagulation/cutting devices and conventional monopolar devices were used, range between 30 and 390 min, generally including the time for frozen section analyses, as well as cases with multiple cysts. 5,6,[13][14][15][16][17][18][19][20] The mean operating time in our series was 82.5 min. However, our series almost only included simple renal cysts, and therefore intraoperative frozen section was performed in two cases.…”

Section: Discussionmentioning

confidence: 61%

Retroperitoneal laparoscopic decortication of simple renal cysts using the bipolar PlasmaKinetic scissors

et al. 2006

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Objectives: To analyse the efficacy, safety and feasibility of retroperitoneal laparoscopic decortication of simple renal cysts using bipolar PlasmaKinetic scissors. Methods: Records of 19 patients who underwent laparoscopic decortication of simple renal cysts, performed with bipolar PlasmaKinetic scissors without additional fulguration of the base or the margin of resection, were retrospectively reviewed. Longterm symptomatic and radiological outcomes were assessed. Results: One single cyst was treated in fourteen (73.7%) cases, two cysts in three (15.8%) cases, three cysts in one (5.2%) case and multiple cysts in one case with autosomal dominant polycystic kidney disease. They were peripherally located in thirteen, peripelvic in three, and parenchymal in two cases. An average of 3.1 trochars were used for each procedure. The mean operating time was 82.5 ± 16.7 min (range, 50-135). Neither open conversion nor blood transfusion was necessary. A total of six minor complications were encountered. Mean hospital stay 2.3 ± 0.9 days (range, 1-4). After a mean follow up of 14.3 ± 5.9 months (range, 3-24), symptomatic success was achieved in 89.5%, and radiological success was accomplished in 88.2%. An asymptomatic cyst recurrence was observed in one (5.9%) case, and one (5.9%) case with residual pain had new cyst formation at another site of the kidney. Conclusions: Retroperitoneal laparoscopic cyst decortication using bipolar PlasmaKinetic scissors is a feasible and efficient method, eliminating further fulguration of the base and the margins of the cysts. Operating times are shorter than previously published series and highly satisfactory long-term success rates are achieved.

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Section: Discussionmentioning

confidence: 61%

Retroperitoneal laparoscopic decortication of simple renal cysts using the bipolar PlasmaKinetic scissors

et al. 2006

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“…Surgery, which consists of cyst marsupialization, is considered as a last therapeutic measure as it may result in nephrectomy. Successful laparoscopic ablation of peri-pelvic renal cysts has been found viable, although technically demanding [6][7][8]. In our case (case 1) the lymphangiomatous cysts were peripheral (subcapsular) in location and were easily dealt with.…”

Section: Discussionmentioning

confidence: 66%

Renal lymphangiomatosis: Imaging and management of a rare renal anomaly

et al. 2006

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“…Whether throughout the pathway of the abdominal cavity or post-peritoneum, the unroofing of the parapelvic cyst by celoscope was considered as one standard technology for parapelvic cyst treatment and its successful results have been previously reported (12,13). Because the position of the parapelvic cyst is usually deep and has close relation to the renal pedicle, operation is difficult and it is easy to damage the collective system and thus lead to the leakage of urine after operation.…”

Section: Resultsmentioning

confidence: 99%