Kobayashi Kota, Yoneyama Shuko, Iwasa Eren, Karibe Jurii, Yamashita Daisuke, Takizawa Akitoshi
Department of Urology, International Goodwill Hospital, 1-28-1 Nishigaoka, Izumi-ku, Yokohama, Kanagawa 245-0006, Japan.
Department of Urology, International Goodwill Hospital, 1-28-1 Nishigaoka, Izumi-ku, Yokohama, Kanagawa 245-0006, Japan.
Int J Surg Case Rep. 2022 Mar;92:106866. doi: 10.1016/j.ijscr.2022.106866. Epub 2022 Feb 25.
Simple renal cysts are common in adults, but most of them are asymptomatic. Usually, percutaneous puncture is an initial treatment, but laparoscopic decortication may be effective for recurrent simple renal cyst. Herein, we report a case in which a large symptomatic simple renal cyst was treated with laparoscopic decortication using conventional monopolar device.
A 34-year-old female visited our hospital with chief complaints of back pain and abdominal fullness. Computed tomography showed a right simple renal cyst (diameter: 140 mm). We performed percutaneous drainage with sclerotherapy, but the cyst recurred a month later. Thus, we carried out laparoscopic decortication. We opened the cyst wall via a retroperitoneal approach and trimmed it using monopolar scissors. The operation time was 124 min. The patient's postoperative course was uneventful, and no complications were observed. Following surgery, the patient was asymptomatic.
In our case, we performed operation using a conventional monopolar device without sealing devices. It has been reported that the use of sealing devices can make laparoscopic surgery safer and reduce the operation time, but we herein report that laparoscopic decortication with a conventional monopolar device is an effective and safe treatment option for symptomatic simple renal cysts and that more expensive energy sources are not required.
We successfully performed laparoscopic decortication of a large symptomatic simple renal cyst. This operation is minimally invasive and safe.
单纯性肾囊肿在成年人中很常见，但大多数无症状。通常，经皮穿刺是初始治疗方法，但腹腔镜去顶术对于复发性单纯性肾囊肿可能有效。在此，我们报告一例使用传统单极设备通过腹腔镜去顶术治疗有症状的巨大单纯性肾囊肿的病例。
一名34岁女性因背痛和腹部胀满为主诉前来我院就诊。计算机断层扫描显示右侧有一个单纯性肾囊肿（直径：140毫米）。我们进行了经皮引流并注入硬化剂，但囊肿在一个月后复发。因此，我们实施了腹腔镜去顶术。我们通过后腹腔镜入路打开囊肿壁，并用单极剪刀修剪。手术时间为124分钟。患者术后恢复顺利，未观察到并发症。术后患者无症状。
在我们的病例中，我们使用没有封闭装置的传统单极设备进行手术。据报道，使用封闭装置可使腹腔镜手术更安全并缩短手术时间，但我们在此报告，使用传统单极设备进行腹腔镜去顶术是治疗有症状的单纯性肾囊肿的一种有效且安全的选择，无需使用更昂贵的能量源。
我们成功地对有症状的巨大单纯性肾囊肿实施了腹腔镜去顶术。该手术微创且安全。
