Comparison between retroperitoneal and transperitoneal approaches in the laparoscopic treatment of Bosniak type I renal cysts: A retrospective study

Basit Öğe Kaydı
dc.authorid0000-0001-5254-2563
dc.contributor.authorÖzcan, Levent
dc.contributor.authorPolat, Emre Can
dc.contributor.authorÖnen, Efe
dc.contributor.authorCebeci, Oğuz Özden
dc.contributor.authorMemik, Ömür
dc.contributor.authorVoyvoda, Bekir
dc.contributor.authorUlukaradağ, Emre
dc.contributor.authorKara, Burak Yavuz
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:35Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:35Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: We retrospectively compared laparoscopic transperitoneal and retroperitoneal approaches for the decortication of simple renal cysts with respect to safety, postoperative pain, and clinical results. Materials and Methods: The study included 40 patients (28 males and 12 females) with symptomatic simple renal cysts and who underwent laparoscopic cyst decortication, and they were evaluated retrospectively. Patients' age, gender, disease-specific history, comorbid disease and family history, in general and urological and physical examination findings were recorded. Patients prior to surgery were evaluated by urinalysis, serum creatinine level, blood count, urinary tract ultrasonography, and unenhanced and contrast-enhanced abdominal computed tomography. Patients were informed about laparoscopic surgery and their written informed consent was taken. For those who preferred the laparoscopic approach, the placement of the cyst, history of prior surgery and obesity were evaluated. All patients filled out the visual analog scale (VAS) to evaluate postoperative pain. Results: The mean age of the patients were 54.65 ± 5.26 years in the retroperitoneal group and 56.0 ± 4.66 years in the transperitoneal group. For all patients the indication for surgery included right or left flank pain. The mean operative time for the transperitoneal approach was 51.5 min, and that for the retroperitoneal approach was 44.75 min. This difference was statistically significant between the two groups (P <.05). According to VAS scale, the retroperitoneal scoring method was found to be lower than the transperitoneal scoring method. All patients were discharged on the first postoperative day, and the drains were taken out. None of the patients had complications. At the end of six months, no clinical and radiological recurrence was detected in any patient. Conclusion: We consider the retroperitoneal approach to be the first-choice because of its shorter operation time and particularly low level of postoperative pain.
dc.identifier.citationÖzcan, L., Polat, E. C., Önen, E., Cebeci, O. Ö., Memik, Ö., Voyvoda, B. ... Kara, B. Y. (2015). Comparison between retroperitoneal and transperitoneal approaches in the laparoscopic treatment of Bosniak type I renal cysts: A retrospective study. Urology Journal, 12(4), 2218-2222.
dc.identifier.endpage2222
dc.identifier.issn1735-1308
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage2218
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1205
dc.identifier.volume12
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherUrology and Nephrology Research Centre
dc.relation.ispartofUrology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCystic
dc.subjectKidney Diseases
dc.subjectLaparoscopy
dc.subjectRetrospective Studies
dc.subjectSurgery
dc.titleComparison between retroperitoneal and transperitoneal approaches in the laparoscopic treatment of Bosniak type I renal cysts: A retrospective study
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Polat, Emre Can-2015.pdf
Boyut:
236.99 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu