Skip to main content
SpringerLink
Log in

Laparoscopic Renal Cyst Decortication

  • Chapter
Essential Urologic Laparoscopy

Part of the book series: Current Clinical Urology ((CCU))

  • 813 Accesses

Abstract

Renal cysts are the most common renal masses and occur in up to 50% of individuals over the age of 50 years (1,2). Although renal cysts may be either congenital or acquired, most are simple, asymptomatic, and of unknown etiology. Intervention is needed when cysts are determined to be complex by radiographic criteria or when they are associated with pain, infection, hemorrhage, or urinary obstruction. Some congenital diseases such as autosomal dominant polycystic kidney disease (ADPKD), the most common form of renal cystic disease in the United States, are commonly associated with symptomatic cysts (3). Other cystic diseases such as von-Hippel-Lindau (VHL), tuberous sclerosis, multilocular cystic nephroma, and acquired cystic disease have a predisposition toward malignant degeneration. The need for intervention in some cases of symptomatic or suspicious cysts has led to the development of less invasive strategies for renal cyst management (4). This chapter will discuss the role of laparoscopy in evaluation and management of renal cysts.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tada S, Yamagishi J, Kobayashi H, Hata Y, Kobari T. The incidence of simple renal cyst by computed tomography. Clin Radiol 1983 Jul;34(4):437–439.

    Article  CAS  PubMed  Google Scholar 

  2. Laucks SP Jr, McLachlan MS. Aging and simple cysts of the kidney. Br J Radiol 1981 Jan;54(637):12–14.

    Article  PubMed  Google Scholar 

  3. Gabow PA. Autosomal dominant polycystic kidney disease. N Engl J Med 1993 Jul 29;329(5):332–342.

    Article  CAS  PubMed  Google Scholar 

  4. Bosniak MA. The current radiological approach to renal cysts. Radiology 1986 Jan;158(1):1–10.

    CAS  PubMed  Google Scholar 

  5. Page IH. The production of persistant htn by cellophaneperinephritis. JAMA 1939;113:2046–2048.

    CAS  Google Scholar 

  6. Davies MC, Perry MJ. Urological management of ‘page kidney’. BJU Int 2006 Nov;98(5):943–944.

    Article  PubMed  Google Scholar 

  7. Wolf JS Jr. Evaluation and management of solid and cystic renal masses. J Urol 1998 Apr;159(4):1120–1133.

    Article  PubMed  Google Scholar 

  8. Harisinghani MG, Maher MM, Gervais DA, McGovern F, Hahn P, Jhaveri K, Varghese J, Mueller PR. Incidence of malignancy in complex cystic renal masses (Bosniak category III): should imaging-guided biopsy precede surgery? AJR Am J Roentgenol 2003 Mar;180(3):755–758.

    PubMed  Google Scholar 

  9. Israel GM, Bosniak MA. Follow-up CT of moderately complex cystic lesions of the kidney (Bosniak category IIF). AJR Am J Roentgenol 2003 Sep;181(3):627–633.

    PubMed  Google Scholar 

  10. Gibbons RP, Bush WH Jr, Burnett LL. Needle tract seeding following aspiration of renal cell carcinoma. J Urol 1977 Nov;118(5):865–867.

    CAS  PubMed  Google Scholar 

  11. Auvert J, Abbou CC, Lavarenne V. Needle tract seeding following puncture of renal oncocytoma. Prog Clin Biol Res 1982;100:597–598.

    CAS  PubMed  Google Scholar 

  12. Kiser GC, Totonchy M, Barry JM. Needle tract seeding after percutaneous renal adenocarcinoma aspiration. J Urol 1986 Dec;136(6):1292–1293.

    CAS  PubMed  Google Scholar 

  13. Wehle MJ, Grabstald H. Contraindications to needle aspiration of a solid renal mass: tumor dissemination by renal needle aspiration. J Urol 1986 Aug;136(2):446–448.

    CAS  PubMed  Google Scholar 

  14. Shenoy PD, Lakhkar BN, Ghosh MK, Patil UD. Cutaneous seeding of renal carcinoma by Chiba needle aspiration biopsy. Case report. Acta Radiol 1991 Jan;32(1):50–52.

    Google Scholar 

  15. Abe M, Saitoh M. Selective renal tumour biopsy under ultrasonic guidance. Br J Urol 1992 Jul;70(1):7–11.

    Article  CAS  PubMed  Google Scholar 

  16. Slywotzky C, Maya M. Needle tract seeding of transitional cell carcinoma following fine-needle aspiration of a renal mass. Abdom Imaging 1994 Mar–1994 Apr 30;19(2):174–176.

    Article  Google Scholar 

  17. Atug F, Burgess SV, Ruiz-Deya G, Mendes-Torres F, Castle EP, Thomas R. Long-term durability of laparoscopic decortication of symptomatic renal cysts. Urology 2006 Aug;68(2):272–275.

    Article  PubMed  Google Scholar 

  18. Ohkawa M, Tokunaga S, Orito M, Shimamura M, Hirano S, Okasho A, Kosaka S. Percutaneous injection sclerotherapy with minocycline hydrochloride for simple renal cysts. Int Urol Nephrol 1993;25(1):37–43.

    Article  CAS  PubMed  Google Scholar 

  19. Wahlqvist L, Grumstedt B. Therapeutic effect of percutaneous puncture of simple renal cyst. Follow-up investigation of 50 patients. Acta Chir Scand 1966 Oct;132(4):340–347.

    CAS  PubMed  Google Scholar 

  20. Fontana D, Porpiglia F, Morra I, Destefanis P. Treatment of simple renal cysts by percutaneous drainage with three repeated alcohol injection. Urology 1999 May;53(5):904–907.

    Article  CAS  PubMed  Google Scholar 

  21. Hanna RM, Dahniya MH. Aspiration and sclerotherapy of symptomatic simple renal cysts: value of two injections of a sclerosing agent. AJR Am J Roentgenol 1996 Sep;167(3):781–783.

    CAS  PubMed  Google Scholar 

  22. Ohta S, Fujishiro Y, Fuse H. Polidocanol sclerotherapy for simple renal cysts. Urol Int 1997;58(3):145–147.

    Article  CAS  PubMed  Google Scholar 

  23. Reiner I, Donnell S, Jones M, Carty HL, Richwood AM. Percutaneous sclerotherapy for simple renal cysts in children. Br J Radiol 1992 Mar;65(771):281–282.

    Article  CAS  PubMed  Google Scholar 

  24. Gelet A, Sanseverino R, Martin X, Leveque JM, Dubernard JM. Percutaneous treatment of benign renal cysts. Eur Urol 1990;18(4):248–252.

    CAS  PubMed  Google Scholar 

  25. Okeke AA, Mitchelmore AE, Keeley FX, Timoney AG. A comparison of aspiration and sclerotherapy with laparoscopic de-roofing in the management of symptomatic simple renal cysts. BJU Int 2003 Oct;92(6):610–613.

    Article  CAS  PubMed  Google Scholar 

  26. Plas EG, Hubner WA. Percutaneous resection of renal cysts: a long-term followup. J Urol 1993 Apr;149(4):703–705.

    CAS  PubMed  Google Scholar 

  27. Salas Sironvalle M, Gelet A, Viguier JL, Martin X, Sanseverino R, Marechal JM, Dubernard JM. [Percutaneous resection of benign renal cysts]. Actas Urol Esp 1990 Sep–1990 Oct 31;14(5):349–351.

    CAS  PubMed  Google Scholar 

  28. Lopatkin NA, Martov AG. The percutaneous x-ray endoscopic surgery of simple kidney cysts. Urol Nefrol (Mosk) 1993 Mar–1993 Apr 30;2:2–5.

    Google Scholar 

  29. Kropp KA, Grayhack JT, Wendel RM, Dahl DS. Morbidity and mortality of renal exploration for cyst. Surg Gynecol Obstet 1967 Oct;125(4):803–806.

    CAS  PubMed  Google Scholar 

  30. Morgan C Jr, Rader D. Laparoscopic unroofing of a renal cyst. J Urol 1992 Dec;148(6):1835–1836.

    PubMed  Google Scholar 

  31. Jahnsen JU, Solhaug JH. Extirpation of benign renal cysts with laparoscopic technique. Tidsskr Nor Laegeforen 1992 Nov 20;112(28):3552–3554.

    CAS  PubMed  Google Scholar 

  32. Hulbert JC. Laparoscopic management of renal cystic disease. Semin Urol 1992 Nov;10(4):239–241.

    CAS  PubMed  Google Scholar 

  33. Camargo AH, Cooperberg MR, Ershoff BD, Rubenstein JN, Meng MV, Stoller ML. Laparoscopic management of peripelvic renal cysts: University of California, San Francisco, experience and review of literature. Urology 2005 May;65(5):882–887.

    Article  PubMed  Google Scholar 

  34. Grantham JJ. The etiology, pathogenesis, and treatment of autosomal dominant polycystic kidney disease: recent advances. Am J Kidney Dis 1996 Dec;28(6):788–803.

    Article  CAS  PubMed  Google Scholar 

  35. Murcia NS, Sweeney WE Jr, Avner ED. New insights into the molecular pathophysiology of polycystic kidney disease. Kidney Int 1999 Apr;55(4):1187–1197.

    Article  CAS  PubMed  Google Scholar 

  36. Lee DI, Andreoni CR, Rehman J, Landman J, Ragab M, Yan Y, Chen C, Shindel A, Middleton W, Shalhav A, et al. Laparoscopic cyst decortication in autosomal dominant polycystic kidney disease: impact on pain, hypertension, and renal function. J Endourol 2003 Aug;17(6):345–354.

    Article  PubMed  Google Scholar 

  37. Chapman AB, Gabow PA. Hypertension in autosomal dominant polycystic kidney disease. Kidney Int Suppl 1997 Oct;61:S71–S73.

    CAS  PubMed  Google Scholar 

  38. Segura, J. W.; King, B. F.; Jowsey, S. G., et al. Chronic Pain and its medical and surgical management in renal cystic diseases. Polycystic Kidney Disease. New York: Oxford Medical Publications; p. 466.

    Google Scholar 

  39. Elzinga LW, Barry JM, Torres VE, Zincke H, Wahner HW, Swan S, Bennett WM. Cyst decompression surgery for autosomal dominant polycystic kidney disease. J Am Soc Nephrol 1992 Jan;2(7):1219–1226.

    CAS  PubMed  Google Scholar 

  40. Ye M, Chen JH, Zhang L. Long-term results of cyst decapitating decompression (CDD) operation for autosomal dominant polycystic kidney disease (ADPKD). J Urol 157 (suppl):286.

    Google Scholar 

  41. Frang D, Czvalinga I, Polyak L. A new approach to the treatment of polycystic kidneys. Int Urol Nephrol 1988;20(1):13–21.

    Article  CAS  PubMed  Google Scholar 

  42. Rubenstein SC, Hulbert JC, Pharand D, Schuessler WW, Vancaillie TG, Kavoussi LR. Laparoscopic ablation of symptomatic renal cysts. J Urol 1993 Oct;150(4):1103–1106.

    CAS  PubMed  Google Scholar 

  43. Teichman JM, Hulbert JC. Laparoscopic marsupialization of the painful polycystic kidney. J Urol 1995 Apr;153(4):1105–1107.

    Article  CAS  PubMed  Google Scholar 

  44. Lifson BJ, Teichman JM, Hulbert JC. Role and long-term results of laparoscopic decortication in solitary cystic and autosomal dominant polycystic kidney disease. J Urol 1998 Mar;159(3):702–705; discussion 705–706.

    Article  CAS  PubMed  Google Scholar 

  45. Chehval MJ, Neilsen C. Laparoscopic cyst decompression in polycystic kidney disease. J Endourol 1995 Jun;9(3):281–282.

    Article  CAS  PubMed  Google Scholar 

  46. Dunn MD, Portis AJ, Shalhav AL, McDougall EM, Clayman RV. Laparoscopic cyst marsupialization in patients with autosomal dominant polycystic kidney disease. J Urol 2001 Jun; 165(6 part 1): 1888–1892.

    CAS  PubMed  Google Scholar 

  47. Brown JA, Torres VE, King BF, Segura JW. Laparoscopic marsupialization of symptomatic polycystic kidney disease. J Urol 1996 Jul;156(1):22–27.

    Article  CAS  PubMed  Google Scholar 

  48. Hoenig DM, McDougall EM, Shalhav AL, Elbahnasy AM, Clayman RV. Laparoscopic ablation of peripelvic renal cysts. J Urol 1997 Oct;158(4):1345–1348.

    Article  CAS  PubMed  Google Scholar 

  49. Gill IS, Rassweiler JJ. Retroperitoneoscopic renal surgery: our approach. Urology 1999 Oct;54(4):734–738.

    Article  CAS  PubMed  Google Scholar 

  50. Guazzoni G, Montorsi F, Bergamaschi F, Consonni P, Bellinzoni P, Centemero A, Rigatti P. Laparoscopic unroofing of simple renal cysts. Urology 1994 Feb;43(2):154–159.

    Article  CAS  PubMed  Google Scholar 

  51. Valdivia Uria JG, Baquero GA, Alebesque FM, Santamaria EL. Laparoscopic ablation of renal cysts. Arch Esp Urol 1994;47:246.

    CAS  PubMed  Google Scholar 

  52. Wada T, Kamiryo Y, Tsuchida M, Kato M. Laparoscopic unroofing of a renal cyst. Hinyokika Kiyo 1995 Nov;41(11):861–865.

    CAS  PubMed  Google Scholar 

  53. Ou YC, Yang CR, Chang YY, Kuo JH, Wu HC. The clinical experience of gaseous retroperitoneoscopic and gasless retroperitoneoscopy-assisted unroofing of renal cyst. Chung Hua I Hsueh Tsa Chih (Taipei) 1997 Apr;59(4):232–239.

    CAS  Google Scholar 

  54. Denis E, Nicolas F, Ben Rais N, Cloix P, Dawahra M, Marechal JM, Gelet A. Laparoscopic surgical treatment of simple cysts of the kidney. Prog Urol 1998 Apr;8(2):195–200.

    CAS  PubMed  Google Scholar 

  55. Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol 1999 Sep;162(3 Pt 1):765–770; discussion 770–771.

    Article  CAS  PubMed  Google Scholar 

  56. Roberts WW, Bluebond-Langner R, Boyle KE, Jarrett TW, Kavoussi LR. Laparoscopic ablation of symptomatic parenchymal and peripelvic renal cysts. Urology 2001 Aug;58(2):165–169.

    Article  CAS  PubMed  Google Scholar 

  57. Santiago L, Yamaguchi R, Kaswick J, Bellman GC. Laparoscopic management of indeterminate renal cysts. Urology 1998 Sep;52(3):379–383.

    Article  CAS  PubMed  Google Scholar 

  58. Warren KS, McFarlane J. The Bosniak classification of renal cystic masses. BJU Int 2005 May;95(7):939–942.

    Article  PubMed  Google Scholar 

  59. Elashry OM, Nakada SY, Wolf JS Jr, McDougall EM, Clayman RV. Laparoscopy for adult polycystic kidney disease: a promising alternative. Am J Kidney Dis 1996 Feb;27(2):224–233.

    Article  CAS  PubMed  Google Scholar 

  60. Shiraishi K, Eguchi S, Mohri J, Kamiryo Y. Laparoscopic decortication of symptomatic simple renal cysts: 10-year experience from one institution. BJU Int 2006 Aug;98(2):405–408.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for Minimally Invasive Urologic Cancer Treatment, Department of Urology, University of Texas, Southwestern Medical Center, Dallas, TX, USA

    Joshua M. Stern MD

  2. Jefferson University, Philadelphia, PA, USA

    Ilia S. Zeltser MD (Clinical Assistant Professor of Urology)

  3. Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Yair Lotan MD (Assistant Professor of Surgery) & Jeffrey A. Cadeddu MD

Authors
  1. Joshua M. Stern MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ilia S. Zeltser MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yair Lotan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jeffrey A. Cadeddu MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Urology, University of Wisconsin-Madison School of Medicine & Public Health, 600 Highland Ave., 53792-3236, Madison, WI, USA

    Stephen Y. Nakada

  2. Department of Urology, University of Wisconsin-Madison School of Medicine & Public Health, 600 Highland Avenue, 53792, Madison, WI, USA

    Sean P. Hedican

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Stern, J.M., Zeltser, I.S., Lotan, Y., Cadeddu, J.A. (2010). Laparoscopic Renal Cyst Decortication. In: Nakada, S.Y., Hedican, S.P. (eds) Essential Urologic Laparoscopy. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-820-1_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-820-1_5

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-819-5

  • Online ISBN: 978-1-60327-820-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation