Page 10 - World Association of Laparoscopic Surgeons - Journal

WJOLS

Laparoscopic Decortication of Simple Renal Cyst with Omental Wadding Technique: Single Center Experience

reported, i.e. cyst decortication with fulguration of the cyst 7. Bean WJ. Renal cysts: Treatment with alcohol. Radiology
base, marsupialization, resection with surgical bolsters 1981;138:329-31.
8. Raskin MM, Poole DO, Roen SA, Viamonte M Jr. Percutaneous
positioned into the base of the cyst, and omental wadding
management of renal cysts: Results of a four-year study.
of the cyst. 16,17 Radiology 1975;115(3):551-53.
After the second case that got recurrence after 6 months, 9. Hanna RM, Dahniya MH. Aspiration and sclerotherapy of
we started to ensure complete excision of the cyst wall and symptomatic simple renal cysts: Value of two injections of a
sclerosing agent. Am J Roentgenol 1996;167:781-83.
to wad the floor of the cyst with omentum and fix it with
10. Morgan C, Rader D. Laparoscopic unroofing of a renal cyst.
clips. We did not have any recurrence with this technique.
J Urol 1992;148:1835-36.
This agrees with other series reporting less recurrence rate 11. Agarwal MM, Hemal AK. Surgical management of renal cystic
with this technique. 2 disease. Curr Urol Rep 2011;12(1):3-10.
We encountered some difficulties in dissection of the 12. Tuncel A, Aydin O, Balci M, Aslan Y, Atan A. Laparoscopic
decortication of symptomatic simple renal cyst using
Gerota’s facia and excision of cyst wall in our three cases
conventional monopolar device. Kaohsiung J Med Sci 2011;
that had sclerotherapy. This can explain the longer mean 27(2):64-67.
operative duration in these cases. 13. Permpongkosol S, Ungbhakorn P, Leenanupunth C. Laparo-
endoscopic single site (LESS) management of benign kidney
CONCLUSION diseases: Evaluation of complications. J Med Assoc Thai 2011;
94(1):43-49.
Laparoscopic decortication of large simple renal cysts is an 14. Shiraishi K, Eguchi S, Mohri J, Kamiryo Y. Laparoscopic
efficacious, safe and less invasive method of treatment. decortication of symptomatic simple renal cysts: 10-year
Omental wadding is helpful to decrease the incidence of experience from one institution. BJU Int 2006;98:405-08.
15. Ryu DS, Oh TH. Laparoscopic decortication of large renal cysts:
cyst recurrence. Laparoscopic decortication is recommended
A comparison between the transperitoneal and retroperitoneal
as a primary treatment for huge cysts or as a secondary approaches. J Laparoendosc Adv Surg Tech A 2009;19(5):
treatment after treatment failure with sclerotherapy. 629-32.
16. Yoder BM, Wolf JS. Long-term outcome of laparoscopic
REFERENCES decortication of peripheral and peripelvic renal and adrenal cysts.
J Urol 2004;171:583-87.
1. Terada N, Arai Y, Kinukawa N, Terai A. The 10-year natural 17. Roberts WW, Bluebond-Langner R, Boyle KE, Jarrett TW,
history of simple renal cysts. Urology 2008;71:7-11. Kavoussi LR. Laparoscopic ablation of symptomatic paren-
2. Porpiglia F, Fiori C, Billia M, Renard J, Di Stasio A, chymal and peripelvic renal cysts. Urology 2001;58:165-69.
Vaccino D, et al. Retroperitoneal decortication of simple renal
cysts vs decortication with wadding using perirenal fat tissue:
Results of a prospective randomized trial. BJU Int 2009; 103(11): ABOUT THE AUTHORS
1532-36.
3. Hemal AK. Laparoscopic management of renal cystic disease. M El-Shazly
Urol Clin North Am 2001;28:115-26.
Department of Urology, Farwaniya Hospital, Kuwait
4. Thwaini A, Shergill IS, Arya M, Budair Z. Long-term follow-up
after retroperitoneal laparoscopic decortication of symptomatic
A Allam
renal cysts. Urol Int 2007;79:352-55.
5. Bosniak MA. The use of the bosniak classification system for Department of Urology, Farwaniya Hospital, Kuwait
renal cysts and cystic tumors. J Urol 1997;157:1852-53.
6. Chung B, Kim J, Hong C, Yang S, Lee M. Comparison of single B Hathout
and multiple sessions of percutaneous sclerotherapy for simple
renal cyst. BJU Int 2000;85(6):626-27. Department of Urology, Farwaniya Hospital, Kuwait

World Journal of Laparoscopic Surgery, January-April 2012;5(1):1-3 3