Editing Autosomal dominant polycystic kidney disease (section)

===Laparoscopic cyst decortication===
Laparoscopic cyst decortication (also referred to as marsupialization) consists in the removal of one or more kidney cysts through [[laparoscopic surgery]], during which cysts are punctured, and the outer wall of the larger cysts is excised with care not to incise the renal parenchyma.<ref name="TP-150515-E04">{{cite journal | vauthors = Brown JA, Torres VE, King BF, Segura JW | title = Laparoscopic marsupialization of symptomatic polycystic kidney disease | journal = The Journal of Urology | volume = 156 | issue = 1 | pages = 22–27 | date = July 1996 | pmid = 8648810 | doi = 10.1016/s0022-5347(01)65927-5 }}</ref><ref name="TP-150515-E05">{{cite journal | vauthors = McDougall EM | title = Approach to decortication of simple cysts and polycystic kidneys | journal = Journal of Endourology | volume = 14 | issue = 10 | pages = 821–827 | date = December 2000 | pmid = 11206615 | doi = 10.1089/end.2000.14.821 }}</ref> This procedure can be useful for pain relief in patients with ADPKD, and is usually indicated after earlier cyst aspiration has confirmed that the cyst to be decorticated is responsible for pain.<ref name="TP-150515-E05" />
Nonrandomised controlled trials conducted in the '90s showed that patients with symptomatic simple renal cysts who had recurrence of symptoms after initial response to simple aspiration could be safely submitted to cyst decortication, with a mean pain-free life between 17 and 24 months after surgery.<ref name="TP-150515-E04" /><ref name="TP-150515-E06">{{cite journal | vauthors = Consonni P, Nava L, Scattoni V, Bianchi A, Spaliviero M, Guazzoni G, Bellinzoni P, Bocciardi A, Rigatti P | display-authors = 6 | title = [Percutaneous echo-guided drainage and sclerotherapy of symptomatic renal cysts: critical comparison with laparoscopic treatment] | journal = Archivio Italiano di Urologia, Andrologia | volume = 68 | issue = 5 Suppl | pages = 27–30 | date = December 1996 | pmid = 9162369 }}</ref> Laparoscopic decortication presents a 5% recurrence rate of renal cysts compared to an 82% recurrence rate obtained with sclerotherapy.<ref name="TP-150515-E07" />