title: [Cholelithiasis and renal cysts: simultaneous laparoscopic treatment].
abstract: Laparoscopic surgery has been increasingly used in different fields of surgery. This report concerns the authors' experience with combined laparoscopic cholecystectomy and symptomatic renal cyst decortication. The mean diameter of the cysts was 11.2 cm. and involved the left and right kidney in 3 and 1 patient, respectively. All cysts were peripheral. Surgery was performed using 4 trocars in 3 cases and 5 trocars in the other. The mean operative time was 110 minutes and mean blood loss 40 cc. Postoperative pain was minimal. The mean duration of postoperative ileus was 2.2 days. No significant complications were observed. The mean postoperative hospital stay was 3.5 days. At follow-up examinations all patients were pain-free. Recurrence of the cyst was observed in only one case. Combined laparoscopic cholecystectomy and renal cyst decortication is technically feasible in selected cases and does not seem to significantly affect the perioperative course of cholecystectomy.
authors.affiliation: Divisione di Chirurgia, Ospedale Marzio Marini, Magliano Sabina Rieti.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Zarba Meli
authors.forename: Lavinia
authors.initials: L
authors.lastname: Meli
authors.forename: Angelo
authors.initials: A
authors.lastname: Forti
authors.forename: Luigi
authors.initials: L
authors.lastname: Ioni
authors.forename: Massimo
authors.initials: M
authors.lastname: Ruggeri
authors.forename: Maurizio
authors.initials: M
authors.lastname: Bagarani
mesh_terms: D002769:Cholelithiasis / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D052177:Kidney Diseases, Cystic / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged