OBJECTIVES: To present our experience of treating symptomatic @entity8 by different techniques of laparoscopic decortication, as there are many treatment options for such cysts, each of them with advantages and drawbacks. @entity1 AND METHODS: Between January 2002 and December 2012, 51 @entity1 underwent laparoscopic renal-cyst decortication; 15 of them had recurrent cysts after percutaneous @entity1173 . A retroperitoneal approach was adopted in 44 cases, transperitoneal in four and laparo-endoscopic single-site surgery (LESS) cyst decortication in three (two of them had bilateral renal cyst decortications in the same session). All @entity1 were diagnosed by ultrasonography and computed tomography to determine the Bosniak classification of the cyst. @entity158 and cyst recurrence were assessed during the follow-up. RESULTS: All procedures were completed successfully, with no major @entity3816 . The mean (range) operative duration was 56 (35-125)  min, affected by the site and number of cysts unroofed. All @entity1 were symptom-free except one, who had a recurrent large cyst, anteriorly located, and who underwent open cyst decortication. CONCLUSIONS: Laparoscopic decortication of symptomatic @entity8 should be the standard of care, especially after failed percutaneous @entity1173 or decortication. LESS cyst decortication is a promising technique, especially with bilateral pathology. It is feasible with conventional laparoscopic instruments and gives a better cosmetic outcome.

The laparoscopic management of symptomatic XXXX : A single-centre experience.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal cysts'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspiration'] @entity3816 :: ('MESH:D007431', 'Disease') :: ['intraoperative complications']
@entity8 :: (MESH:D007674,Disease) :: ['renal cysts']
