Giant renal cyst: diagnosis and surgical management features

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Abstract

Renal cysts are among the most common benign lesions of the urinary system. Simple renal cysts are generally asymptomatic and do not require treatment; however, when they reach a considerable size, they may compress adjacent tissues, causing pain, hypertension, hydronephrosis, or impaired renal function. This article presents a clinical case of successful surgical management of a giant left renal cyst measuring 22 × 24 cm in a 55-year-old patient. The cyst caused compression of surrounding structures, manifested by pain and abdominal distension. Based on computed tomography findings, the cyst was classified as Bosniak type II. Laparoscopic cyst excision with evacuation of 5100 mL of fluid was performed. The postoperative course was uneventful, and a follow-up examination at 3 months revealed no recurrence. This clinical case demonstrates the effectiveness of the laparoscopic approach even in cases of giant renal cysts. Laparoscopic excision ensures minimal invasiveness while maintaining high surgical efficacy. Particular attention during such procedures should be paid to meticulous hemostasis, prevention of intraoperative cyst rupture, and complete removal of the cyst wall.

About the authors

Nikolay Yu. Kostenkov

City Hospital No. 15, Saint Petersburg

Email: drkostenkov@yandex.ru
ORCID iD: 0000-0001-8246-8798
SPIN-code: 5455-1516

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Evgeny S. Nevirovich

City Hospital No. 15, Saint Petersburg; Academician I.P. Pavlov First St. Petersburg State Medical University

Email: enevirovich@gmail.com
ORCID iD: 0000-0001-8427-5092
SPIN-code: 9362-4145

MD, Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Igor V. Kuzmin

Academician I.P. Pavlov First St. Petersburg State Medical University

Email: kuzminigor@mail.ru
ORCID iD: 0000-0002-7724-7832
SPIN-code: 2684-4070
Scopus Author ID: 56878681300

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saint Petersburg

Rizan M. Ammo

City Hospital No. 15, Saint Petersburg

Email: rezan_ammo@hotmail.com
ORCID iD: 0000-0002-9056-3389

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Oleg M. Mosiychuk

City Hospital No. 15, Saint Petersburg

Email: oleg.mosichuk@yandex.ru
ORCID iD: 0009-0003-7979-1086
SPIN-code: 5116-2894
Russian Federation, Saint Petersburg

Ilya N. Tkachuk

City Hospital No. 15, Saint Petersburg; Academician I.P. Pavlov First St. Petersburg State Medical University

Email: tkachukin@yandex.ru
ORCID iD: 0009-0002-1622-8045

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Vladimir V. Mikheev

City Hospital No. 15, Saint Petersburg

Email: miheich@yandex.ru
ORCID iD: 0009-0006-2203-7025
Russian Federation, Saint Petersburg

Kirill V. Krivokorytov

City Hospital No. 15, Saint Petersburg

Author for correspondence.
Email: kkrivokorytov@gmail.com
ORCID iD: 0009-0007-8128-607X
Russian Federation, Saint Petersburg

References

  1. Simonov PA, Firsov MA, Laletin DI, et al. Features of surgical treatment of renal cysts depending on the risk of malignancy. Urologiia. 2022;(4):23–26. doi: 10.18565/urology.2022.4.23-26 EDN: ACWSKV
  2. Kanauchi Y, Hashimoto M, Toda N, et al. Automatic detection and measurement of renal cysts in ultrasound images: A deep learning approach. Healthcare (Basel). 2023;11(4):484. doi: 10.3390/healthcare11040484
  3. Wu Q, Ju C, Deng M, et al. Prevalence, risk factors and clinical characteristics of renal dysfunction in Chinese outpatients with growth simple renal cysts. Int Urol Nephrol. 2022l;54(7):1733–1740. doi: 10.1007/s11255-021-03065-5
  4. Zhu M, Chu X, Liu C. Effects of renal cysts on renal function. Arch Iran Med. 2022;25(3):155–160. doi: 10.34172/aim.2022.26
  5. Han X, Yuan G, Zhu X, et al. A comparative study of mini- versus standard laparoscopy in the treatment of renal cysts. Minim Invasive Ther Allied Technol. 2021;30(3):179–186. doi: 10.1080/13645706.2019.1699835
  6. Khoder WY, Grabbert M, Sigle A, et al. Retrospective evaluation of the clinical values of minimally invasive marsupialization of symptomatic giant renal cysts. J Laparoendosc Adv Surg Tech A. 2021;31(3):279–283. doi: 10.1089/lap.2020.0415
  7. Fernández-de la Varga M, Pérez Valle I, Ordieres Díaz C, et al. Large bowel obstruction secondary to a simple renal cyst: an exceptional complication. Rev Esp Enferm Dig. 2022;114(6):366–367. doi: 10.17235/reed.2022.8623/2022
  8. Maugeri A, Fanciulli G, Barchitta M, et al. Comparison of aspiration with sclerotherapy and laparoscopic deroofing for the treatment of symptomatic simple renal cysts: a systematic review and meta-analysis. Updates Surg. 2021;73(5):1691–1698. doi: 10.1007/s13304-021-01042-2
  9. Nicolau C, Antunes N, Paño B, Sebastia C. Imaging characterization of renal masses. Medicina (Kaunas). 2021;57(1):51. doi: 10.3390/medicina57010051
  10. Brandi N, Mosconi C, Giampalma E, Renzulli M. Bosniak classification of cystic renal masses: Looking back, looking forward. Acad Radiol. 2024;31(8):3237–3247. doi: 10.1016/j.acra.2023.12.019
  11. All-Russian Public Organization “Russian Society of Urologists”. Kidney Cyst. Clinical Guidelines of the Ministry of Health of the Russian Federation. Ministry of Health of the Russian Federation; 2024. (In Russ.)
  12. Akkoç A, Aydın C. How safe and effective is laparoscopic decortication of simple renal cysts in elderly patients? Aging Male. 2020;23(3):227–231. doi: 10.1080/13685538.2020.1741542
  13. Tang Z, Lu B, Zhang Y, et al. Comparison of the mid-term outcomes of laparoscopic and percutaneous nephroscopic laser unroofing for the treatment of single renal cyst: a single-center retrospective study. Int Urol Nephrol. 2025;57(7):2119–2126. doi: 10.1007/s11255-025-04382-9
  14. Mohammed KMG, Zarm A, Velez JCQ, Mohamed MMB. Massive renal cyst displacing intra-abdominal structures. Ochsner J. 2023l;23(3):262–265. doi: 10.31486/toj.23.0036

Supplementary files

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2. Fig. 1. Computed tomography of the abdominal organs with intravenous contrast prior to surgery.

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3. Fig. 2. Intraoperative view of a giant cyst of the left kidney.

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4. Fig. 3. Intraoperative view: lower pole of the left kidney after cyst resection.

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5. Fig. 4. The patient's anterior abdominal wall before (a) and after (b) surgery in the anterior projection.

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6. Fig. 5. The patient's anterior abdominal wall before (a) and after (b) surgery in lateral projection.

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7. Fig. 6. Computed tomography of the urinary tract with intravenous contrast 3 months after surgery.

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