Objective: In this study we evaluated the results of 3D laparoscopic treatment method by symptomatic simple kidney cysts.

Material and Method: A total of 23 patients undergoing 3D laparoscopic cyst decortication due to symptomatic simple kidney cysts between August 2016 and October 2018 were evaluated. Evaluation criteria were sex, age, symptom, localisation and size of the cyst, duration of operation hospital stay and complications.

Results: Mean age of the patients was 57.3 ± 11.8 (27-73) years, 7 (30.4 %) of the patients were female and 16 (%69.6) were male. The most common symptom was pain. Mean cyst diameter was 8.1 ± 2.5 (53-126 mm) cm. In assistance of 3D imaging,16 patients received treatment under transperitoneal and 7 patients under retroperitoneal approach. Localisation of the cysts were as 17 at left and 6 at the right side. Mean duration of hospital stay was 2.2 ± 0.4 (2-3) days and mean operation time was 29.8 ± 5.6 (19-42) minutes. Whole cysts were evaluated as Bosniak type1. Histopathologic evaluation revealed simple kidney cysts with no sign of malignancy. No radiological and symptomatic recurrence was observed in any of the cases.

Conclusion: Laparoscopic cyst decortication in assistance with 3D imaging in the treatment of symptomatic simple kidney cysts is safe, effective and has a low incidence of recurrence and morbidity.