LAPAROSCOPIC UNROOFING OF SYMPTOMATIC RENAL CYSTS - 3 DISTINCT SURGICAL APPROACHES

Although they are rarely associated with complaints, benign renal cyst s may be the cause of pain, hypertension, or other problems. Simple as piration is rarely definitive treatment. We have had good results with three laparoscopic approaches to cyst unroofing: transperitoneal, wit h reflection of the colon medially or dissection through the mesocolon and direct retroperitoneoscopy. We recommend initial percutaneous asp iration with cytology study both to rule out malignancy and to identif y those cysts clearly in need of unroofing.