OUR EXPERIENCE RETROPERITONEOSCOPIC EXCISION OF SIMPLE KIDNEY CYSTS: ADVANTAGES AND DISADVANTAGES
Objective. Assess advantages and disadvantages of retroperitoneoscopic access for the resection of renal cysts in clinical practice. Material and methods. For the period from 01/09/2020 tо 30/11/2021, in our center we performed 25 retroperitoneal endoscopic resections of renal cysts. Access was made through Lesgaft-Grunfield triangle. All patients underwent standard clinical evaluation for renal cysts. Results. Retroperitoneal access was performed for all patients by standard technique. All surgeries were finished without conversion to open surgery. Mean duration of surgery was 25,45 ± 2,55 min. Mean intraoperative blood loss was 20,4 ± 0,6 ml. Intra - and postoperative complications, that required extra interventions were not encountered. Mean hospital - in stay was 4,6 ± 0,4 days and patients soon after discharge returned to their daily activities. All patients were under follow-up to 12 months. Conclusion. Retroperitoneal endoscopic access is a good alternative for laparoscopic access for surgical treatment of renal cysts, with less trauma and with no invasion into peritoneal cavity. Time of recovery is the same as with laparoscopy. This technique is also carries good cosmetic effect. One of main advantages is that in this access it is possible to hold high CO2 pressure, that is particularly in patients with ischemic heart disease is undesirable to hold high intraabdominal pressure.