title: Retroperitoneoscopic renal biopsy: still a good indication!
abstract: The histological evaluation of the renal parenchyma is often essential in cases of several renal diseases and provides useful information in determining the prognosis and guiding treatment. In patients with contraindications to percutaneous kidney biopsy, retroperitoneal laparoendoscopic single-site surgery (LESS) is to be preferred as a minimally invasive technique. However, there are cases in which the LESS technique is difficult to perform, especially given that the learning curve is not optimal. We present a case of a Jehovah's Witness patient with severe obesity, in whom conventional retroperitoneal laparoscopic renal biopsy was preferred to the LESS technique.
authors.affiliation: Department of Urology and Nephrology, University of Modena and Reggio Emilia, Modena - Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Micali
authors.forename: Matteo
authors.initials: M
authors.lastname: Dandrea
authors.forename: Cosimo
authors.initials: C
authors.lastname: De Carne
authors.forename: Eugenio
authors.initials: E
authors.lastname: Martorana
authors.forename: Stefano
authors.initials: S
authors.lastname: De Stefani
authors.forename: Gianni
authors.initials: G
authors.lastname: Cappelli
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Bianchi
mesh_terms: D001706:Biopsy / Q000295:instrumentation / Q000379:methods; D015992:Body Mass Index; D006801:Humans; D007558:Italy; D033221:Jehovah's Witnesses; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D009765:Obesity / Q000150:complications; D011379:Prognosis; D051437:Renal Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology*; D012187:Retroperitoneal Space; D012307:Risk Factors; D018084:Ultrasonography, Interventional / Q000379:methods