Abstract: Objective To evaluate the clinical value of laparoscopic fenestration for polycystic kidney complicated with polycystic liver. Methods The data of eight patients who received laparoscopic fenestration for polycystic kidney complicated with polycystic liver during January 2009 and February 2014 were collected and retrospectively analyzed. Results The procedures were successfully performed in all 8 cases,and no cases was conversed to open abdominal operation. The mean operating time was （96.31±14.26） min （70 to 120 min） without complications. The mean hospital stay were（4.89±0.76） days （4 to 6 days）. The average followed-up period after operation were（18.52±5.03） months（8 to 24 months）. The symptom of abdominal pain was improved and high blood pressure decreased in all 8 cases. The serum creatinine,blood urea nitrogen and cystatin C levels were significantly decreased in 5 cases,while in 3 cases had no significant improvement in renal function. ConclusionsThe laparoscopic fenestration for polycystic kidney complicated with polycystic liver has advantages of less injury,shorter hospital stay and significantly improved clinical symptoms, which may worth the clinical application.

Key words: Polycystic kidney, Polycystic liver, Laparoscopic fenestration, Efficacy