{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:04:17Z","timestamp":1777921457831,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To evaluate the indication and benefit of minimally invasive laparoscopic marsupialization (MIS) of symptomatic giant renal cysts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Sixty-four consecutive patients who underwent MIS for large renal cysts (Bosniak I; 4\u2009\u00d7\u20095\u201316\u2009\u00d7\u200912\u2009cm) by one surgeon were included in the study. Presenting symptoms were renal pain (100%), associated with hypertension (28%), renal dysfunction (4.7%), hematuria (4.7%), ureteropelvic junction obstruction (UPJO) (7.8%), ipsilateral urolithiasis (4.7%), polycystic kidney (6.3%), adrenal cyst (1.6%), and retroperitoneal cysts (1.6%). Seven patients with peripelvic cysts and previous retroperitoneal operations were treated by a laparoscopic approach; all other patients underwent retroperitoneoscopic marsupialization. Single-port retroperitoneoscopy was performed in 4 patients. Follow-up included clinical examination, abdominal ultrasound, and computed tomography scan. Postoperative radiologic success was defined as a minimum of 50% in size reduction and no recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean patients' age was 46 (21\u201365) years. All procedures were successfully completed without conversion or revision. Mean operative time was 55 (40\u201385) minutes with a mean hospital stay of 3 days. All patients underwent uneventful postoperative recovery. Observed minor complications (transitory fever\/pain) were found in 4 patients during the first postoperative month. Median follow-up was 12 months (10 months\u20132 years). About 98.5% of patients reported of no relevant postoperative pain. A relief from UPJO and hematuria was achieved in 100% of patients. Ten patients with known hypertensive disease (55.6%) had a significant reduction of mean blood pressure resulting in a reduction of antihypertensive medication. Ureterorenoscopic stone extractions were performed successfully afterward. No cyst recurrences were detected during the follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Treatment indications for symptomatic renal cysts could include not only symptoms but also associated diseases like UPJO and hypertension. Retroperitoneoscopic MIS may be curative for these cyst-associated pathologies. The feasibility, safety and efficacy of these techniques could be demonstrated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0415","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T13:37:00Z","timestamp":1603114620000},"page":"279-283","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Retrospective Evaluation of the Clinical Values of Minimally Invasive Marsupialization of Symptomatic Giant Renal Cysts"],"prefix":"10.1177","volume":"31","author":[{"given":"Wael Y.","family":"Khoder","sequence":"first","affiliation":[{"name":"Department of Urology, Freiburg University Hospital, Freiburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Grabbert","sequence":"additional","affiliation":[{"name":"Department of Urology, Freiburg University Hospital, Freiburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"August","family":"Sigle","sequence":"additional","affiliation":[{"name":"Department of Urology, Freiburg University Hospital, Freiburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Astheimer","sequence":"additional","affiliation":[{"name":"Department of Urology, Freiburg University Hospital, Freiburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Vallo","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Hochtaunus-Kliniken, Bad Homburg vor der H\u00f6he, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Gratzke","sequence":"additional","affiliation":[{"name":"Department of Urology, Freiburg University Hospital, Freiburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,5]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-54-637-12"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(01)80013-6"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365598909180843"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35820-2"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35697-5"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00634-7"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00086.x"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.03.009"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2005.19.831"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01299.x"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.11.012"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.06.023"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01145-1"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1159\/000352055"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-010-0152-2"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1159\/000109722"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365599.2012.704942"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1997.00139.x"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5001784"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2013.12"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.4082\/kjfm.2014.35.5.237"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e32832f1458"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2010.0093"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08294.x"}],"container-title":["Journal of Laparoendoscopic &amp; 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