LAPAROSCOPIC RENAL CYST EXCISION

Renal cystic failure generally does not require any form of treatment except in cases where a secondary obstruction of the excreting tract o ccurs, for persistent hypertension, when symptomatic pain persists or is complicated by infection or haemorrhage. Laparoscopic treatment of a renal cyst has proved to be a safe and efficacious therapy. We repor t our transperitoneal and retroperitoneal experience with laparoscopic resection of simple renal cysts, between January 1992 and June 1995. We employed a transperitoneal approach for 10 patients and in eight ca ses a retroperitoneal access. No intraoperative complications were enc ountered in this series. In all patients blood loss was less than 100 cc. With both approaches patients can be discharged between 24 and 72 h after the operation. At 6 month follow up, one recurrence was observ ed in the group of patients treated transperitoneally. Retroperitoneos copy seems to be safer and easier compared to the transperitoneal tech nique.