Objective. Experience of endoscopic
renal cysts excisions by tranpersitonal
and retroperitoneal methods
Materials and methods. Retrospective
and prospective analysis of endoscopic
excisions of simple renal cysts
in 84 patients for a period from 1996
to 2008 was carried out. 38 patients
had single renal cyst, 19 – multiple
cysts, 22 – multicompartment cysts,
8 patients had cysts from both sides.
Cysts’ dimensions varied from 3.0 to
At first mainly transperitoneal approach
was used, later majorly it was
retroperitoneoscopic. Cysts’ localization
and dimensions were a matter of
principle in selection of patients and
type of approach.
Surgery time mean value was 80 minutes
(50-180 minutes). With experience
accumulated surgery time was
decreasing. Hospitalization days varied
from 3 to 12.
Results. 10 complications were mentioned
during or after the surgery.
They were successfully managed intraoperatively
or in early postoperative
period. On a control survey after
3-12 months cysts recurrence sized 3
cm were found in 2 patients. Recurrence
cysts did not influenced renal
Conclusions. Thus endoscopic renal
cysts excision is high effective manipulation
with low complication
rate and quick rehabilitation. We figure
that with enough experience any
localization cyst is possible to excise.
In case of two-sided cysts transperitoneal
approach is more preferable.