Laparoscopic renal cyst surgery
A benign, growing, fluid-containing lesion of the kidney is called renal cyst. Cysts can also occur inside the kidneys and building on their surface. Since it is a benign lesion, cysts require treatment only in exceptional cases. Cysts can be examined and monitored with abdominal ultrasound. Ultrasound can determine the location, size, and structure of cysts. Abdominal CT may be required for cysts showing growth or for cysts which structure is not homogeneous.
When is laparoscopic renal cyst surgery necessary?
The need for treatment is determined by the size and location of the cyst and the age of the patient. Large cysts (bigger than 7 cm) may require surgical treatment, since if the cyst is damaged or ruptured as a result of trauma to the kidney, sudden bleeding may occur, which may require immediate surgery. To avoid this, laparoscopic renal cyst surgery is recommended for large cysts after proper examination.
How is laparoscopic renal cyst surgery performed?
Laparoscopic renal cyst surgery is performed under anaesthesia. During the procedure, a 1.5 cm skin incision is made, at the level of the navel on the side to be operated on, while the patient is lying on their side, and then the abdomen is filled with CO2 using a special needle.
Then a minimum of 2 skewers (laparoscopic trocar) – sometimes 3 skewers –, 5 or 10 mm wide are inserted into the abdomen, through which the devices are inserted into the abdomen.
During the operation, we look for the kidney cyst, which we can access after detaching the abdominal fixation of the organs (mainly the colon) in front of it.
The fatty capsule of the kidney is then opened and the cyst is removed in a circular way, then we puncture it, and then the cyst wall is cut and removed in a circular way as well.
At the end of the surgery, a drainage tube is placed in place of the cyst for 1-2 days. The carbon dioxide is then released from the abdomen, the trocars are removed, and the skin wounds are closed with absorbable sutures. The surgery ideally takes approx. 60-80 minutes.
What are the advantages of the laparoscopic renal cyst surgery?
- Low surgical strain
- Fast recovery
- You can go back to work soon
- Final result
- Barely visible scars
What are the risks of the surgery?
The frequency of complications is negligible compared to the number of surgeries performed.
General risks of medical interventions, such as infections, post-surgery bleeding, wound opening, etc. may also occur in case of this procedure, too.
The chances of developing complications are significantly influenced by what previous abdominal surgeries have taken place and whether there is intestinal adhesion in the abdominal cavity, which may make surgery impossible.
In case of laparoscopic surgeries, there is always the possibility of open abdominal surgery. This occurs only when an unexpected event during surgery (e.g. bleeding, injury to the abdominal organs) cannot be treated with laparoscopic devices.
The patient’s other comorbidities, such as cancer, hypertension, obesity, diabetes, haemophilia, and hematopoietic disease, may contribute greatly to the development of surgical complications. The development of complications is also largely determined by the age of the patient.
How do I prepare for the surgery?
Your doctor will inform you about the cause, course, risks and consequences of the intervention. If your doctor has prescribed medicines before the procedure, take them at the prescribed time or do what your doctor has told you.
What to do after the laparoscopic renal cyst surgery?
Following the procedure, mild pain may occur in the affected surgical area, which in some cases might be followed by bruising. Liquid may be drained from the inserted drain hose. The tube is usually left in for 1-2 days.
A specific feature of laparoscopic intervention may be left shoulder girdle pain, which is mild and resolves on its own within a few hours. The dressing covering the surgical wounds should initially be protected from moisture. Medication should be used as directed by the doctor to prevent infections and reduce pain. You can leave the hospital on the 2nd day after surgery.
Your doctor will inform you comprehensively about the further possibilities and course of the treatment.
We accommodate our clients in a modern, pleasant, air-conditioned single room. Each room has a private bathroom, fridge and TV, and free WIFI access. We also provide our clients with individual nurse supervision, who will help your continuous recovery during your stay.