Comparison of single-session aspiration and XXXX sclerotherapy with laparoscopic de-roofing in the management of symptomatic @entity8 .

@entity1 @entity8 @entity158 @entity285 @entity1068
OBJECTIVE: The aim of the study was to compare the efficacy and cost-effectiveness of single-session aspiration and @entity1068 sclerotherapy with laparoscopic de-roofing in the management of symptomatic @entity8 . MATERIAL AND METHODS: Between March 2010 and December 2012, @entity1 with @entity8 presenting with pressure and @entity158 symptoms were divided into two groups. In Group 1 following local anesthetic administration, single session percutaneous aspiration with 95% @entity1068 sclerotherapy (n=38) and in Group 2 transperitoneal laparoscopic de-roofing under general anesthesia (n=42) were performed. The data were evaluated retrospectively and demographic characteristics, duration of operation and hospitalization, complication rates, cost effectiveness, radiological and symptomatic success rates at six month- follow-up were compared between the two groups. RESULTS: The mean age and gender of the @entity1 , cyst diamater, side and localization of the cyst and indications for intervention were similar in two groups. The median course of treatment and hospitalization were signifcantly decreased in Group 1 (respectively 33 min versus 59 min and 6 hours versus 24 hours, p<0.001). As complications in Group 1 fever in two @entity1 (5.3%) and in Group 2 bleeding requiring transfusion in one @entity1 (2.4%) were observed (p=0.495). Total cost was calculated as   131.7 in Group 1 and   729.8 in Group 2. After the sixth month follow-up control radiological success rates were found to be signifcantly higher in Group 2, while symptomatic success rate is similar in both groups (63.2% versus 95.2%, p<0.001; 94.7% versus 97.6%, p=0.498, respectively). CONCLUSION: Single-session percutaneous aspiration with @entity285 sclerotherapy and laparoscopic de-roofing are safe and effective methods in the treatment of symptomatic @entity8 . While radiological recurrence rate was higher in single session percutaneous aspiration with @entity285 sclerotherapy, however similar symptomatic recurrence rates were seen with laparoscopy. Therefore single session percutaneous aspiration combined with @entity285 sclerotherapy seems to be an important option in the treatment of @entity8 when considering the duration of the operation, hospitalization and total costs of the process.
