ORIGINAL RESEARCH article
Front. Med.
Sec. Nephrology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1579726
This article is part of the Research TopicAdvancing Benign Surgery: Techniques, Outcomes, and Educational InnovationsView all articles
Intelligent Pressure-Controlled Percutaneous Unroofing: Advancing Minimally Invasive Renal Cyst Treatment
Provisionally accepted
- Ganzhou People's Hospital, Ganzhou, China
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Objective Simple renal cysts (SRC) are common benign lesions that may require surgical intervention when symptomatic. This study aimed to compare the efficacy and safety of intelligent pressure-controlled percutaneous unroofing of renal cysts (IPC-PURC) with laparoscopic unroofing of renal cysts (LURC) in the treatment of SRC.Patients and methods A retrospective analysis was conducted on 168 patients with SRC who underwent either IPC-PURC (n=61) or LURC (n=107) between December 2017 and December 2023. Key outcomes, including operative time, postoperative hospital stay, drainage duration, postoperative pain scores, hemoglobin decrease, and complication rates, were compared between the two groups.The IPC-PURC group demonstrated significantly shorter operative times (78.3 ± 22.8 min vs.108.6 ± 29.6 min, P < 0.001), postoperative hospital stays (4 days vs. 5 days, P < 0.001), and drainage tube durations (3 days vs. 4 days, P < 0.001) compared to the LURC group. Additionally, patients in the IPC-PURC group reported lower postoperative pain scores (P < 0.001). No significant differences were observed between the two groups in terms of hemoglobin decrease or complication rates. Both techniques achieved a 100% success rate in symptomatic relief and cyst resolution.Conclusion IPC-PURC offers advantages in terms of shorter operative time, reduced postoperative hospital stay, and lower postoperative pain compared to LURC, while maintaining similar safety profiles and efficacy. Therefore, IPC-PURC may represent a superior minimally invasive option for the treatment of SRC.
Keywords: renal cyst, Percutaneous unroofing, Laparoscopic unroofing, minimally invasive surgery, Pressure control
Received: 19 Feb 2025; Accepted: 21 Apr 2025.
Copyright: © 2025 Liao, Zhai, Huang, Du, Fan, Li and Song. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Haijun Liao, Ganzhou People's Hospital, Ganzhou, China
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