Laparoscopic marsupialization of massive renal cyst

Laparoscopic approaches to urological problems continue to increase. We describe laparoscopic marsupialization and fulguration of a symptomatic giant renal cyst. Transient obstruction at the marsupialized window illustrated the importance of using omental or epiploic fat to maintain patency. Complete resolution of the cyst and hydronephrosis ensued.