A comparative study on the results of simple renal cyst decortication between 3 different approaches

Li Hao; Mi Qinghui; He Yongjun; Jia Rui

doi:10.3969/j.issn.2095-5146.2014.05.005

Abstract：Objective:To evaluate the clinical significance of laparoscopic renal cyst decortication,open renal cyst decortication and renal cyst puncture sclerotherapy.Methods:The clinical data of 85 patients with simple renal cyst were analyzed retrospectively.There were 53 males and 32 females.The mean age was 43 (22-72)years old.The av-erage diameter of renal cysts was 6.8 (4.8-13.2)cm.Of all the 85 patients,30 cases underwent laparoscopic renal cyst decortication,30 cases underwent open renal cyst decortication and 25 cases underwent percutaneous renal cyst sclerotherapy.The mean operative time,blood loss,post-operative hospital stay,postoperative drainage time and re-currence rate were compared between different surgical groups.Results:All the 85 patients underwent cyst decortica-tion successfully without any obvious complication during or after surgery.The recurrence rate of laparoscopic or open surgery group was lower than in the puncture sclerotherapy group,accounting for 3.3%,0% and 24%,re-spectively (P<0.05).Compared with open surgery group,the average blood loss,postoperative drainage time and postoperative hospital stay were less than in the laparoscopic and open surgery group (P<0.05).There was no sig-nificant difference in the operative time between different surgery groups.Conclusions:All the 3 surgical procedures could get quite good results with different advantages in decortication of simple renal cyst.In general,laparoscopic renal cyst decortication is relatively better than the other 2 procedures with less blood loss,postoperative drainage time and postoperative hospital stay.Nevertheless,the final surgical choice should be made according to cyst charac-teristics and comprehensive assessment of the patient.