ON A DECISION FOR THE METHOD OF TREATMENT OF KIDNEY CYSTS

Abstract

THE AIM of the investigation was to determine the possibilities and place of different minimally invasive methods of treatment of liquid formations in the retroperitoneal space. PATIENTS AND METHODS. A statistical analysis of results of treatment of 241 patients with cysts of the kidneys was carried out. Among them there were 158 patients with sclerotherapy, 64 with endovideosurgical operations. A comparison was made with the results of 19 open operations. RESULTS. Puncture treatment of the cysts was favorably different from the operations by the invasion parameters, but due to their being not radical repeated manipulations are necessary during the first month in 9.5% of cases and during the first year in 29.7%. In addition, relapsing cysts after puncture treatment can appear almost in 14% of cases, the number of recurrent cysts increases if there appear such signs as enlarged capsule, multy chambered, heterogeneity of the contents etc. The duration of endovideosurgical operations (EVS) is close to that of traditional ones, but their advantage is the lack of blood loss, good postoperative period and shortest time for recovery. Practically there are no relapses and repeated manipulations are not necessary. CONCLUSION. Puncture of the cyst with sclerotherapy is good as a method of choice for simple onechamber cysts of the kidney with the diameter not more than 6 cm, with clear smooth contours, thin walls and homogeneous internal structure, if the puncture channel goes extrarenally or extraperitoneally. The endovideosurgical operation can be used for any cystic formation of the kidney if there are indications for operative treatment. Traditional open operation can be used but when puncture and EVS operation are either contraindicated or impossible.