Transperitoneal laparoscopic parapelvic cyst unroofing of 45 cases

Abstract

Objectives To evaluate the experience and clinical efficacy of transperitoneal laparoscopic parapelvic cyst unroofing. Methods From 2008 to 2015, 45 cases of transperitoneal laparoscopic parapelvic cyst unroofing were collected. Of all the cases, 33 males and 12 females, aged from 35 to 65 years, and 27 patients in left, 18 patients in right. Results All of these 44 operations were successful, no cases convert to open surgery. 1 case for kidney seeper was misdiagnosed as renal pelvis cyst. And double J tube was placed intraoperative and no leakage of urine. All of these cases had no complications after sutured.The average operation time was 35min. No obvious activity bleeding occured, and the average hospital stays after operation was 3~5 d. Histological studies showed 44 cases parapelvic cyst. Clinical symptoms repeatedly and recurrence under the imaging diagnosis were found during 3~18 months' follow-up in 45 cases. Conclusions The transperitoneal laparoscopic parapelvic cyst unroofing have the advantages of clear surgical field, less trauma and rapid recovery. It is an effective treatment for the renal pelvis cyst. Key words: Kidney Pelvis; Cysts; Laparoscopes