Rehman Abdul, Awais Muhammad, Baloch Noor Ul-Ain, Ather Hammad M
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan;
Department of Radiology, Aga Khan University Hospital, Karachi, Pakistan;
Can Urol Assoc J. 2014 Nov;8(11-12):E872-4. doi: 10.5489/cuaj.2072.
Simple renal cysts are among the most common cystic lesions of the kidney. Renal cysts most often remain asymptomatic, but rarely these cysts may become huge in size and result in significant symptoms. Giant renal cysts present a technical challenge in terms of surgical management. Although laparoscopic procedures have been performed successfully at experienced centres, intraperitoneal marsupialization via open approach may be a feasible option at less experienced centres. We report a case of a young female with a giant (24 × 18 cm) renal cyst of Bosniak type-II variety. De-roofing and intraperitoneal marsupialization of the cyst was performed. At the 1-year follow-up, she was asymptomatic, with no residual cyst.
单纯性肾囊肿是肾脏最常见的囊性病变之一。肾囊肿大多无症状,但这些囊肿很少会变得巨大并导致明显症状。巨大肾囊肿在手术治疗方面存在技术挑战。尽管在经验丰富的中心已成功开展腹腔镜手术,但在经验较少的中心,经开放入路行腹腔内囊肿开窗术可能是一种可行的选择。我们报告一例年轻女性患者,患有一个巨大(24×18厘米)的博斯尼亚克II型肾囊肿。对该囊肿进行了去顶和腹腔内囊肿开窗术。在1年的随访中,她无症状,无残留囊肿。