A Comparison Of The Clinical Outcome Between Retroperitoneal Laparoscopic And Open Cyst Decortication For Autosomal Dominant Polycystic Kidney Disease

Objective:To assess the clinical value of retroperitoneal laparoscopic cyst decortication as compared and open cyst decortication for autosomal dominant polycystic kidney disease.Methods:The clinical data(demographic,intraoperative,postoperative and midterm follow-up data)for 25 patients who underwent retroperitoheal laparoscopic cyst decortication were retrospectively compared with those for 29 patients who underwent open cyst decortication through a retroperitoneal flank.Approach:Student-test,Pearson chi-square test and Mann-Whitey rank sum test were applied for statistical analysis as appropriate.Statistical significance was defined as P＜0.05.Results:Patient demographics were similar between the two groups.In group A,operation time,estimated blood loss,recovery of intestinal function,analgesic requirements,postoperative length of hospital stay are better than those in group B(P＜0.01).No intraoperative complications occurred in either group.Incidence of postoperative complications and clinical outcome are equivalent in group A and B(P＞0.05).Conclusions:Retropefitoneal laparoscopic cyst decortication is a minimally invasive,safe and effective therapy for autosomal dominant polycystic kidney disease.