Laparoscopic treatment of symptomatic renal cysts in overweight patients at Ibadan: an initial experience

Abstract

Symptomatic renal cysts are eminently suitable for treatment through laparoscopic approach. We report our initial experience with the laparoscopic treatment of symptomatic renal cysts in overweight patients at Ibadan. Results: Five patients were treated between June 2015 and April 2016 comprising of 3 males and 2 females. The mean age was 61 (age range, 40-75) years. The mean body mass index was 29.9 (range 25.5-31.1) kg/m2 . Four of the five patients presented with loin pain. Three patients were hypertensive; one had peptic ulcer disease and another diabetes with prostate cancer. Abdominal ultrasound and CT scan showed thin-walled cortical cysts, with sizes varying from 35cc to 380cc. Four cysts were unilateral, located in the left kidney while a patient had bilateral cysts. The mean operating time was 222 minutes (range 180-310 minutes). The estimated blood loss was 20-100mls. The five patients had laparoscopic trans peritoneal deroofing and excision of the renal cortical cysts. The postoperative period was uneventful and all were discharged on the second day after surgery. The median period of follow up was 14 months (range 8-I S months) and these patients have remained asymptomatic with no radiological evidence of persistence of cysts. Conclusion: Laparoscopic deroofing and excision of simple renal cyst in overweight patients is feasible and safe in our environment