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SAS Journal of Medicine | Volume-9 | Issue-04
Simple Kidney Cysts: Sclerotherapy versus Laparoscopy
El Bahri Abdessamad, Louardi Nabil, lamghari Aziz, Boukhlifi Youness, Alami Mohammed, Ameur Ahmed
Published: April 14, 2023 | 80 82
DOI: 10.36347/sasjm.2023.v09i04.013
Pages: 296-300
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Abstract
Introduction: The simple kidney cyst is part of a heterogeneous family of cystic kidney disease, and is the most common entity. It is admitted that these cysts are, except for a few anecdotic cases, all benign. Aim: The aim of this work is to compare the efficiency of sclerotherapy and laparoscopy in the treatment of simple kidney cysts. Material and Methods: This was prospective study of 30 simple kidney cysts cases. We split patients into 2 arms. In arm A, 15 patients were treated by sclerotherapy under local anesthesia and in arm B, 15 patients were treated by laparoscopy under general anesthesia. Results: Average operative time was significantly lower in arm A (15 min vs 45 min, p <0.001). No postoperative complication was noted in arm A, whereas conversion was required in arm B (0% vs. 6.7%, p = 1). The average length of stay was not significant, 3.2 days versus 2.8 days (p = 0.52). The overall radiological success rate was 80% for arm A and 87.5% for arm B. Conclusion: This shows that sclerotherapy offers a shorter operative time, and a lower postoperative pain. Although, laparoscopic results are better than sclerotherapy’s. We cannot statistically conclude the superiority of one method over the other.