Laparoscopic Decortication of Large Renal Cysts: A Comparison Between the Transperitoneal and Retroperitoneal Approaches

Abstract

Based on the cyst location, as the major selection criteria, both approaches were comparable with regard to symptomatic improvement and radiologic findings. The retroperitoneal approach had the advantages of reduced operation time, time to oral intake and ambulation, as well as analgesic use. Therefore, we prefer to perform laparoscopic decortication by the retroperitoneal approach without mobilization of the bowel.