Long-term results of transperitoneal laparoscopic fenestration in the treatment of simple XXXX .

@entity1 @entity8 @entity5 @entity260 @entity158
The aim of this paper was to assess long-term results of transperitoneal laparoscopic fenestration in the treatment of symptomatic simple @entity8 . Fifteen consecutive @entity1 (7 @entity1 , 8 @entity1 ), with a mean age of 51 years (range, 36-79 years), underwent transperitoneal fenestration of simple @entity8 (SRC) at our institution from 1994 to 2001. Data were collected by reviewing @entity1 ' clinical files, conducting telephone interviews regarding symptoms, and followup renal ultrasonography (US). There were 15 symptomatic cysts (10 parenchymal, 5 peripelvic) ranging in diameter from 3.5 to 20 cm (mean, 8 cm). All @entity1 had @entity158 and in four (26.6%) the collecting system was compressed by the cysts. Fenestration was carried out laparoscopically in all @entity1 . There was no mortality and no @entity260 were recorded. No @entity5 were detected at final histopathology. Mean length of stay was 2.5 days. All @entity1 were available for long-term followup. At a mean of 60 months (range, 22-93 months) from surgery, three @entity1 (20%) complained of slight discomfort in the lumbar area not requiring any analgesic. No recurrence of the cysts was seen on US. Two asymptomatic @entity1 (13.3%) developed additional cysts originating from sites different than the one operated on. Laparoscopic fenestration of SRC is safe and effective in the long term to relieve @entity1 from symptoms.
