Abstract
Purpose : Treatment for Multicystic Dysplastic Kidney (MCDK) remains still controversial. There are three types of treatment : conservative therapy (CoG), open nephrectomy (OpG) and laparoscopic nephrectomy (LaG). This study was to examined which type of treatment is the most efficient for MCDK.
Materials and Methods : Between 1990 and 2001, the author examined 27 MCDK cases. These were divided into three groups : CoG, OpG, and LaG and a comparative study of the treatment of these three groups were performed retrospectively.
Results : There were 11 cases in CoG, 6 cases in OpG and 10 cases in LaG. Cost in LaG was higher than that in CoG, if MCDK disappear within five years. However, corrently if MCDK porsisted for more than five years the cost in CoG was higher. In our series, nearly 50% of MCDK had not disappeared in five years. Thus, we prefer laparoscopic nephrectomy to conservative treatment.
Conclusion : There are no complications of MCDK when the patient receives surgery in early stage. Currently, laparoscopic nephrectomy is the most efficient technique for MCDK patients. It is clear that this technique has the merits of a short hospitalization period and smallest scar for the patients.
