Simple nephrectomy: managing the difficult case: xanthogranulomatous pyelonephritis and autosomal dominant polycystic kidney disease.
Laparoscopic surgery for kidneys with xanthogranulomatous pyelonephritis or autosomal dominant polycystic disease has proved to be technically difficult but is possible. The Harmonic Scalpel facilitates the dissection of inflammatory tissues and does not inflict burns. Hand-assisted laparoscopy may be useful. Pain relief is obtained by most patients undergoing cyst drainage, although recurrence after a year or two is common. A specific and detailed preoperative diagnosis and treatment plan are essential to a successful outcome.
Anderson
K R
KR
Department of Surgery (Urology), Yale University, School of Medicine, New Haven, Connecticut 06504, USA. Kevin.anderson@yale.edu
D003937:Diagnosis, Differential; D019160:Endosonography; D006801:Humans; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D011028:Pneumoperitoneum, Artificial; D016891:Polycystic Kidney, Autosomal Dominant / Q000000981:diagnostic imaging / Q000601:surgery*; D011379:Prognosis; D011705:Pyelonephritis, Xanthogranulomatous / Q000000981:diagnostic imaging / Q000601:surgery*; D012008:Recurrence; D014057:Tomography, X-Ray Computed