Technical challenges in treating recurrent XXXX .

@entity1 @entity99
PURPOSE: Simple @entity99 ( @entity99 ) are relatively frequent and often asymptomatic. When symptomatic, surgery is recommended. Most @entity1 can be treated with laparoscopic deroofing. However, recurrence rate varies greatly, and there is no consensus on the optimal approach for symptomatic recurrences. MATERIALS AND METHODS: A retrospective study on 33 @entity1 surgically treated for symptomatic simple @entity99 was performed. Recurrence was considered only when symptomatic. RESULTS: Most @entity1 were initially submitted to laparoscopic deroofing. Symptomatic recurrence was found in five @entity1 treated with laparoscopic deroofing. Specific location of the cysts was a common characteristic. In three cases, recurrence was unsuccessfully treated with open deroofing, and @entity1 were submitted to resection. Open deroofing does not offer any advantage in terms of recurrence in comparison with laparoscopic deroofing. CONCLUSION: Laparoscopic deroofing can be proposed for symptomatic recurrent cysts, except for cysts located in S4, S7 and S8, where recurrence rates are higher and complete resection should be undertaken.
