{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T21:15:34Z","timestamp":1788988534359,"version":"build-2803163510"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004505","name":"Universit\u00e0 degli Studi di Catania","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004505","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There are currently several strategies for the treatment of symptomatic simple renal cysts, such as aspiration with sclerosants and laparoscopic deroofing. However, no clear indication exists for choosing between them. Here, we carried out a systematic review and a meta-analysis of studies, which compared symptomatic and radiological success between aspiration with sclerotherapy and laparoscopic deroofing. Results were reported as relative risk (RR) and 95% confidence interval (95% CI) using laparoscopic deroofing as control group. The symptomatic and radiological successes were evaluated by 6 and 3 studies, respectively. Notably, aspiration with sclerotherapy was associated with higher risk of failure than laparoscopic deroofing (RR\u2009=\u20092.82; 95% CI\u2009=\u20091.84\u20134.31 for symptomatic failure; RR\u2009=\u20098.31; 95% CI\u2009=\u20094.22\u201316.38 for radiological failure). On the other hand, however, aspiration with sclerotherapy was associated with less frequent complications, shorter treatment duration and post-treatment hospital stay, and lower costs. Thus, our work underlines benefits and drawbacks of each intervention, raising the need for further studies to design guidelines for the management of simple renal cysts.<\/jats:p>","DOI":"10.1007\/s13304-021-01042-2","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T16:02:56Z","timestamp":1617292976000},"page":"1691-1698","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of aspiration with sclerotherapy and laparoscopic deroofing for the treatment of symptomatic simple renal cysts: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"73","author":[{"given":"Andrea","family":"Maugeri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Fanciulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Barchitta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Agodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Basile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"issue":"5","key":"1042_CR1","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1089\/lap.2019.0745","volume":"30","author":"JD Choi","year":"2020","unstructured":"Choi JD, Yoo TK, Kang JY, Moon KT, Kim JH, Ahn SH et al (2020) A comparative study of percutaneous aspiration with sclerotherapy and laparoscopic marsupialization for symptomatic simple renal cysts. J Laparoendosc Adv Surg Tech 30(5):514\u2013519. https:\/\/doi.org\/10.1089\/lap.2019.0745","journal-title":"J Laparoendosc Adv Surg Tech"},{"issue":"1","key":"1042_CR2","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1089\/end.2009.0676","volume":"25","author":"EC Li","year":"2011","unstructured":"Li EC, Hou JQ, Yang LB, Yuan HX, Hang LH, Alagirisamy KK et al (2011) Pure natural orifice translumenal endoscopic surgery management of simple renal cysts: 2-year follow-up results. J Endourol 25(1):75\u201380. https:\/\/doi.org\/10.1089\/end.2009.0676","journal-title":"J Endourol"},{"issue":"5","key":"1042_CR3","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1089\/lap.2009.0008","volume":"19","author":"DS Ryu","year":"2009","unstructured":"Ryu DS, Oh TH (2009) Laparoscopic decortication of large renal cysts: a comparison between the transperitoneal and retroperitoneal approaches. 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Minerva Urol Nefrol 70(2):179\u2013192. https:\/\/doi.org\/10.23736\/S0393-2249.17.02985-X","journal-title":"Minerva Urol Nefrol"},{"issue":"2","key":"1042_CR6","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1590\/S0100-39842014000200015","volume":"47","author":"CM de Miranda","year":"2014","unstructured":"de Miranda CM, Maranh\u00e3o CP, Dos Santos CJ, Padilha IG, de Farias LP, da Rocha MS (2014) Bosniak classification of renal cystic lesions according to multidetector computed tomography findings. 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