[Cholelithiasis and renal cysts: simultaneous laparoscopic treatment]

Area of Science:

• Minimally invasive surgical techniques
• Urologic surgery
• Gastrointestinal surgery

Context:

• Laparoscopic surgery is widely adopted across various surgical disciplines.
• The combination of cholecystectomy and renal cyst decortication presents a unique surgical challenge.
• Symptomatic renal cysts can cause significant patient discomfort and require intervention.

Purpose:

• To evaluate the feasibility and perioperative outcomes of combined laparoscopic cholecystectomy and symptomatic renal cyst decortication.
• To assess the safety and efficacy of this combined minimally invasive approach.
• To determine if performing both procedures simultaneously impacts the recovery course of cholecystectomy.

Summary:

• This study reports on the authors' experience with combined laparoscopic cholecystectomy and renal cyst decortication in four patients.
• The procedure involved large peripheral renal cysts (mean diameter 11.2 cm) and standard laparoscopic cholecystectomy.
• Mean operative time was 110 minutes with minimal blood loss (40 cc), minimal postoperative pain, and a mean ileus duration of 2.2 days.
• Hospital stay averaged 3.5 days, with all patients pain-free at follow-up and only one recurrence.

Impact:

• Combined laparoscopic cholecystectomy and renal cyst decortication is technically feasible in select cases.
• This combined approach does not appear to significantly alter the perioperative course of cholecystectomy.
• Minimally invasive surgery offers a viable option for patients requiring concurrent gallbladder and renal cyst treatment.