Laparoscopic retroperitoneal deroofing of simple renal cyst in coparism with open surgery

Abstract

Background: Is to evaluate efficacy and safety of laparoscopic retroperitoneal deroofing of 11 cases of simple renal cyst in comparison with 15 open deroofed cases. Patients and methods: Over period between February 2008 to October 2010 , 11 patients with symptomatic simple renal cysts (pain recalcitrant to available analgesia), the mean cyst diameter was 9.1cm ±2.7SD, mean age was 46.6 years ±12.9SD, 6 patients were males(54.5%), 6 on left (54.5%), 8 on upper or middle poles (79.3%) underwent laparoscopic retroperitoneal deroofing and another 15 patients with same symptoms, the mean cyst diameter was 11.8 cm ±3.7SD, mean age was 50.8 years ±9.2SD, 9 patients were males (60%), 8 on left (53.3%), 10 on upper and middle poles (66.6%) underwent open deroofing. Results: Insignificant difference between both procedures regarding operative time, blood loss, recurrence rate, with better results for laparoscopic retroperitoneal deroofing regarding hospital staying(p≤0.01) and convalescence period.Conclusion: Laparoscopic retroperitoneal deroofing of simple renal cyst is safe and effective procedure with minimal complications in comparing with open one.