title: Transperitoneal laparoscopic excision of seminal vesicle cyst: a single-center experience.
abstract: OBJECTIVE
  Seminal vesicle cyst (SVC) is a rare disease and its treatment is still controversial. This article contains the largest series of transperitoneal laparoscopic excision of SVC to date, summarizing our surgical techniques and clinical experience with this disease.
  
  
  METHODS
  From December 2003 to May 2010, seven patients received transperitoneal laparoscopic excision of SVC using a five-port transperitoneal approach. Nearly the total cyst was removed by only leaving a narrow strip of the cyst wall with the bilateral vas deferens and SV preserved completely. Pelvic CT or MRI was performed 3 and 6 months after surgery, and thereafter annually for at least 3 years.
  
  
  RESULTS
  Transperitoneal laparoscopic excision of SVC was completed successfully in all seven patients without conversion to open surgery. The mean operative time was 73 minutes (range 60-100 min) with negligible blood loss (less than 20 mL). The mean postoperative hospital stay was 4.3 days (range 3-5 days). No intraoperative or postoperative complication occurred. The patients were followed up for a mean of 45 months (range 18-84 mos), during which they all remained symptom free with normal erectile and ejaculatory function without evidence of recurrence.
  
  
  CONCLUSIONS
  Our study has demonstrated that transperitoneal laparoscopic excision of SVC is a safe, feasible, and efficacious procedure, and offers an excellent option for minimally invasive treatment of patients with SVC.
authors.affiliation: Department of Urologic Surgery, Changzheng Hospital of the Second Military Medical University, Shanghai, China.
authors.forename: Dong-xu
authors.initials: DX
authors.lastname: Zhang
authors.forename: Xun-gang
authors.initials: XG
authors.lastname: Li
authors.forename: Yi
authors.initials: Y
authors.lastname: Gao
authors.forename: Yu-shan
authors.initials: YS
authors.lastname: Liu
authors.forename: Jun-kai
authors.initials: JK
authors.lastname: Wang
authors.forename: Jie
authors.initials: J
authors.lastname: Chen
authors.forename: Lu
authors.initials: L
authors.lastname: Chen
authors.forename: Kai
authors.initials: K
authors.lastname: Wang
authors.forename: Xin-gang
authors.initials: XG
authors.lastname: Cui
authors.forename: Dan-feng
authors.initials: DF
authors.lastname: Xu
mesh_terms: D000328:Adult; D003560:Cysts / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D012669:Seminal Vesicles / Q000473:pathology* / Q000601:surgery*; D055815:Young Adult