Laparoscopic management of renal cystic disease

Laparoscopic management of renal cystic disease is a safe and effective met hod of treating symptomatic cysts, which are refractory to other forms of t reatment. In fact, it is not only a safe alternative to open surgery, but t he ideal choice for simple renal cysts. For symptomatic peripelvic cysts, i t is an effective technique for management but needs skillful and challengi ng dissection. Laparoscopic cyst marsupialization in patients with autosoma l dominant polycystic kidney diseases (ADPKD) can effectively reduce the pa in, drain the abscess, relieve the hypertension, and stabilize the renal fu nction. The approach-transperitoneal or retroperitoneal-depends on anatomic location and the surgeon's preference and expertise. The long-term results obtained in the author's experience offer a strong argument favoring retro peritoneoscopic surgery in patients with symptomatic renal cysts.