دورية أكاديمية
Laparoscopic approach for xanthogranulomatous pyelonephritis and pyonephrosis.
| العنوان: | Laparoscopic approach for xanthogranulomatous pyelonephritis and pyonephrosis. |
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| المؤلفون: | Telecan T; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania., Andras I; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania. Electronic address: dr.iuliaandras@gmail.com., Crousen N; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania., Cata ED; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania., Medan P; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania., Stanca DV; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania., Territo A; Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain., Coman I; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania., Crisan N; Servicio de Urología, Universidad de Medicina y Farmacia Iuliu Hatieganu, Cluj-Napoca, Romania; Servicio de Urología, Hospital Municipal Clínico, Cluj-Napoca, Romania. |
| المصدر: | Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2024 Jul-Aug; Vol. 48 (6), pp. 476-483. Date of Electronic Publication: 2024 Mar 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 101771154 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5786 (Electronic) Linking ISSN: 21735786 NLM ISO Abbreviation: Actas Urol Esp (Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Madrid : Elsevier España |
| مواضيع طبية MeSH: | Pyelonephritis, Xanthogranulomatous*/surgery , Pyelonephritis, Xanthogranulomatous*/complications , Laparoscopy*/methods , Pyonephrosis*/surgery , Nephrectomy*/methods, Humans ; Female ; Middle Aged ; Male ; Adult ; Retrospective Studies ; Aged |
| مستخلص: | Introduction: Xanthogranulomatous pyelonephritis (XGPN) is a rare form of chronic renal inflammation, caused by long-term obstruction of the urinary tract. Pyonephrosis is a severe suppurative complication of acute obstructive pyelonephritis. Although minimally invasive approaches have many advantages, the safe dissection of the kidney may not be always achievable. Materials and Methods: We reviewed 27 cases diagnosed with either XGPN or pyonephrosis, who underwent laparoscopic total nephrectomy between October 2016 and March 2022 in our department. All interventions were performed using the Karl Storz 3D laparoscopic system. The surgical approach was standard transperitoneal nephrectomy for the majority of XGPN, while pyonephrosis cases were carried out in a retroperitoneally. All procedures were performed or supervised by the same surgeon. Results: The mean operative time was 269.85 minutes (range 145-360). The mean hemoglobin drop after surgery was 1.41 g/dl (range 0.3-2.3 g/dl). Difficult dissection was encountered in 13 cases (48.14%). Nine out of 13 interventions were carried out in a complete intracorporeal fashion, while conversion to open surgery was needed in 4 cases. Vascular complications involving the major blood vessels comprised of one case of inferior vena cava (IVC) tear. Digestive tract-related complications comprised two fistulas of the descending colon and one peritoneal breach. Multiorgan resection was performed in 6 cases. Conclusion: Total nephrectomy in cases of XGPN and pyonephrosis is a challenging procedure. The laparoscopic approach is feasible, as most complications are resolved intracorporeally. However, it may remain reserved for large-volume centers with experienced surgeons. (Copyright © 2024 AEU. Published by Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cirugía mínimamente invasiva; Complication management; Gestión de complicaciones; Laparoscopia; Laparoscopy; Minimal invasive surgery; Nefrectomía total; Pielonefritis xantogranulomatosa; Pionefrosis; Pyonephrosis; Total nephrectomy; Xanthogranulomatous pyelonephritis |
| تواريخ الأحداث: | Date Created: 20240331 Date Completed: 20240702 Latest Revision: 20240702 |
| رمز التحديث: | 20240703 |
| DOI: | 10.1016/j.acuroe.2024.03.001 |
| PMID: | 38556126 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2173-5786 |
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| DOI: | 10.1016/j.acuroe.2024.03.001 |