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Laparoscopic decortication of simple renal cysts: A systematic review and meta-analysis to determine efficacy and safety of this procedure

Laparoscopic decortication of simple renal cysts: A systematic review and meta-analysis to determine efficacy and safety of this procedure
Laparoscopic decortication of simple renal cysts: A systematic review and meta-analysis to determine efficacy and safety of this procedure

OBJECTIVES: To determine the efficacy and safety of laparoscopic deroofing of symptomatic simple renal cysts.

METHODS: A Cochrane style systematic review was conducted on published literature from 1990 to 2017, to include case series and randomised controlled trials. A pooled meta-analysis was conducted.

RESULTS: A total of 696 patients who had laparoscopic deroofing of their simple renal cysts were identified. Complete radiological resolution was seen in 96% of patients with 95% of patients completely symptoms free. Less than 1% of patients had intra-operative complications and 1.4% developed postoperative complications.

CONCLUSIONS: Cumulative analysis of the literature examining the role of laparoscopic decortication in the management of symptomatic simple renal cysts reveals that the procedure is highly efficacious to relieve symptoms. The procedure was also associated with a significant radiological success rate (96.3%). It was also shown to be safe, with a low complication rate. We deduced a protocol following this systematic review for the management of symptomatic renal cyst in an aim to help select patients that would benefit from laparoscopic decortication.

0042-1138
235-241
Nalagatla, Sarika
eceb879b-bdb9-4d92-b117-85897df330d6
Manson, Ross
e1cbb4d8-a38f-4bc0-98ce-5d11a9969d07
McLennan, Rachel
18818298-68bb-4f3c-a2a2-d8a04bc6171f
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Aboumarzouk, Omar M.
3c7e2433-638d-4378-9931-902fdc68acce
Nalagatla, Sarika
eceb879b-bdb9-4d92-b117-85897df330d6
Manson, Ross
e1cbb4d8-a38f-4bc0-98ce-5d11a9969d07
McLennan, Rachel
18818298-68bb-4f3c-a2a2-d8a04bc6171f
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Aboumarzouk, Omar M.
3c7e2433-638d-4378-9931-902fdc68acce

Nalagatla, Sarika, Manson, Ross, McLennan, Rachel, Somani, Bhaskar and Aboumarzouk, Omar M. (2019) Laparoscopic decortication of simple renal cysts: A systematic review and meta-analysis to determine efficacy and safety of this procedure. Urologia Internationalis, 103 (2), 235-241. (doi:10.1159/000497313).

Record type: Article

Abstract

OBJECTIVES: To determine the efficacy and safety of laparoscopic deroofing of symptomatic simple renal cysts.

METHODS: A Cochrane style systematic review was conducted on published literature from 1990 to 2017, to include case series and randomised controlled trials. A pooled meta-analysis was conducted.

RESULTS: A total of 696 patients who had laparoscopic deroofing of their simple renal cysts were identified. Complete radiological resolution was seen in 96% of patients with 95% of patients completely symptoms free. Less than 1% of patients had intra-operative complications and 1.4% developed postoperative complications.

CONCLUSIONS: Cumulative analysis of the literature examining the role of laparoscopic decortication in the management of symptomatic simple renal cysts reveals that the procedure is highly efficacious to relieve symptoms. The procedure was also associated with a significant radiological success rate (96.3%). It was also shown to be safe, with a low complication rate. We deduced a protocol following this systematic review for the management of symptomatic renal cyst in an aim to help select patients that would benefit from laparoscopic decortication.

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More information

e-pub ahead of print date: 19 March 2019
Published date: August 2019

Identifiers

Local EPrints ID: 433337
URI: http://eprints.soton.ac.uk/id/eprint/433337
ISSN: 0042-1138
PURE UUID: 4a51dee6-cc03-47ef-a704-04eef49e8f2b

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Date deposited: 14 Aug 2019 16:30
Last modified: 16 Mar 2024 03:24

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Contributors

Author: Sarika Nalagatla
Author: Ross Manson
Author: Rachel McLennan
Author: Bhaskar Somani
Author: Omar M. Aboumarzouk

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