Semptomatik basit böbrek kistlerinin tedavisi: Kısa dönem ilk laparoskopik sonuçlarımız

Abstract

Amaç: Semptomatik basit böbrek kistlerinin laparoskopik yönetimi ile ilgili ilk sonuçlarımızı sunmak.Gereç ve Yöntem: Haziran 2010 ve Kasım 2010 tarihleri arasında semptomatik böbrek kisti olan 15 hastayı laparoskopik yöntemle tedavi ettik. Hastaların genel ve cerrahi bilgileri prospektif olarak kayıt edildi.Bulgular: Hastaların ortalama yaşları 59.6 ± 12.6 yıl, 7’si %47.7 bayan, 8’i %53.3 erkek idi. En sık semptom ağrıydı. Ortalama kist çapı 7.8 ± 2.2 cm olarak tespit edildi. Bütün hastalar transperitoneal yaklaşımla tedavi edildi. Kistlerin 11 tanesi sağ böbrekte, 4’ü ise sol böbrekteydi. Ayrıca 1 vakada her iki böbrekte kist mevcuttu. Ortalama hastanede kalış süresi 2.1 ± 0.3 gün olup, ortalama operasyon süresi 30.9 ± 5.7 dakika olarak gerçekleşti. Bütün kistler Bosniak tip1 olarak sınıflandırılmıştı. Bütün kistlerin patolojisi basit böbrek kisti olarak rapor edildi. Hiçbir olguda tekrarlama görülmedi.Sonuç: Semptomatik basit böbrek kistlerinin laparoskopik olarak tedavisi güvenli ve etkin, ayrıca tekrarlama ve morbidide oranı düşük başarılı bir yöntemdir

Keywords

• Laparoskopi,Tedavi,Böbrek Kisti

Treatment of the symptomatic simple renal cysts: Our first short-term laparoscopic results

Abstract

Objective: Our aim is to present our first results about the laparoscopic management of the symptomatic simple renal cysts. Materials and Methods: We treated 15 patients who had the symptomatic renal cysts with the laparoscopic method between June 2010 and November 2010. General and surgical data of the patients were prospectively recorded. Results: The mean ages of the patients were 59.6 ± 12.6 , 7 of whom were female 47.7% and 8 of whom were males 53.3% . The most common symptom was pain. The mean cyst diameter was determined as 7.8 ± 2.2 cm. All of the patients were treated with the transperitoneal approach. 11 of the cysts were in the right kidney, and 4 of the cysts were in the left kidney. In addition, 1 patient had the cysts in both kidneys. The average duration of the hospital stay was 2.1 ± 0.3 days, and the mean duration of the operation was lasted for 30.9 ± 5.7 minutes. All of the cysts were classified as Bosniac type 1. All cases were pathologically reported as simple renal cyst. No recurrence was observed in the patients. Conculusion: The laparoscopic treatment of the symptomatic simple renal cysts is a safe, effective and successful method with lower recurrence and morbidity

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