scholarly journals Evaluation of renal cyst treatment using retroperitoneal laparoscopic decortication

2021 ◽  
Vol 8 (1) ◽  
pp. 4214-4218
Author(s):  
Ut Thanh Ho ◽  
Cuong Van Dam ◽  
Nghiep Ke Le
Keyword(s):  
Success Rate ◽  
General Hospital ◽  
Operative Time ◽  
Renal Cyst ◽  
Renal Cysts ◽  
Common Disease ◽  
Viet Nam ◽  
Management Options ◽  
Cyst Size ◽  
The Mean

Introduction: Renal cyst is a common disease of the renal parenchyma. The management options include percutaneous aspiration with or without sclerotherapy, open surgery, and laparoscopic decortication of renal cyst. Laparoscopic renal cyst decortication is a safe and effective alternative with a high success rate. Objectives: Evaluation of renal cyst treatment by retroperitoneal laparoscopic decortication. Methods: This was a prospective study of patients with asymptomatic renal cyst size greater than 60 mm or symptomatic renal cyst size less than 60 mm in their greatest dimension. These patients underwent retroperitoneal laparoscopic decortication and were admitted at the University Hospital, Can Tho General Hospital (Viet Nam), and Can Tho Central General Hospital (Viet Nam), from September 2018 to May 2020. Renal cysts were localized and characterized by ultrasonography and computed tomography (CT). Symptomatic success rate, radiologic success rate, and complication of procedure were noted. Each patient was reassessed with clinical and ultrasonography examinations at 3 months postoperatively. Results: 33 patients underwent retroperitoneal laparoscopic cyst decortication; this included 11 males (33.3%) and 22 females (66.7%). The mean age of patients was 58.48 ± 9.36 years. Flank pain was a common clinical symptom at presentation in all patients. Most of the cysts were located in the left kidney (39.4%), in the lower pole (54.6%), and in a single cyst (87.9%). The mean cyst diameter was 80.09 ± 27.03 mm. Cysts were classified I with the Bosniak classification. The mean operative time was 69.39 ± 16.94 minutes. Operative time in patients with cyst diameter ≥ 60 mm was statistically significantly longer than in patients with cyst diameter < 60 mm (p = 0.004). The mean hospital stay time was 8.24 ± 2.84 days. Symptomatic success was achieved in 90.1% of patients and radiographic success on ultrasonography was achieved in 84.8%. The operation was successfully completed by laparoscopy in all cases. Conclusion: Retroperitoneal laparoscopic cyst decortication is effective for the treatment of renal cysts. The operation was successfully completed via laparoscopy in all cases.

scholarly journals Approach to Complex Renal Cysts: A Single Center Experience

2021 ◽  
Author(s):  
Nadir Kalfazade ◽  
Ekrem Güner
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Cyst ◽  
Renal Cysts ◽  
Papillary Renal Cell Carcinoma ◽  
Lesion Size ◽  
Cell Renal Cell Carcinoma ◽  
Study Results ◽  
The Mean

Objective: Our objective in this study was to present the data for patients followed-up and underwent surgery due to complex renal cyst using Bosniak classification system. Method: Data of all patients followed-up or underwent surgery via open / minimal invasive methods due to complex renal cyst in our clinic between 2016 and 2019 were retrospectively evaluated. Bosniak category IIF and higher lesions were included in the study. Results: A total of 83 patients were included in the study. The mean age of the patients was 52 ±10.1 years and 40 (48.2%) were male and 43 (51.8%) were female. 53 (63.9%) patients had Bosniak IIF, 18 (21.7%) patients had Bosniak III and 12 (14.5%) patients had Bosniak IV lesions. Mean lesion size was 54±27.4 mm. Surgery was performed in a total of 41 (49.4%) patients. Based on final pathology result, while benign pathologies were detected in 13 (31.7%) patients, clear cell renal cell carcinoma was detected in 22 (53.7%) patients and papillary renal cell carcinoma in 6 (14.6%) patients. Malignity rates were detected as 18.9%, 44.4% and 83.3% in Bosniak IIF, III and IV lesions respectively. While the mean lesion size of patients who had benign pathology were 64.6±18.4 mm, mean lesion size of patients with malign pathology were 58.3±29.7 mm (p =.41). Conclusion: Progression is an important malignity finding in Bosniak IIF lesions. An important amount of especially Bosniak III lesions is overtreated. Thus, active surveillance is a treatment which should be considered in these patients. More comprehensive prospective randomized studies are needed.

scholarly journals Initial Experience of Retroperitoneoscopic Surgery in Benign Renal Diseases

2019 ◽  
Vol 17 (01) ◽  
pp. 94-99
Author(s):  
Ashok kumar Kunwar ◽  
Amit Mani Upadhyay ◽  
Sanjesh Bhakta Shrestha ◽  
Udaya Koirala ◽  
Kabir Tiwari ◽  
...  
Keyword(s):  
Open Surgery ◽  
Prospective Observational Study ◽  
Operative Time ◽  
Renal Cyst ◽  
Perioperative Period ◽  
Early Experience ◽  
Renal Diseases ◽  
Post Operative Pain ◽  
The Mean ◽  
Failure To Progress

Background: To review our early experience to determine the feasibility, efficacy and clinical outcomes of retroperitoneoscopic surgery in benign renal diseases.Methods: This is a prospective observational study carried out between December 2014 to March 2018. Among 14 patients enrolled in the study, 9 cases of nonfunctioning kidney underwent retroperitoneoscopic simple nephrectony, 4 cases of benign renal cortical cysts underwent decortication of cysts and one case of pelviureteric junction obstruction underwent Anderson Hynes pyeloplasty. Results: Retroperitoneoscopic nephrectomy, renal cyst decortication and A-H pyeloplasty were performed in 13 patients successfully. The procedure in one patient of RP nephrectomy converted to open surgery due to dense perinephric and hilar adhesions. Which resulted to failure to progress. The mean operative time of RP nephrectomy, decortications and pyeloplasty were 206.4 (150-248), 67.5 (60-80) and 275 minutes, average blood loss was 96.7 (50-120), 27.5 (20-30) and 70 ml, and the mean hospital stay were 3.5 (3-4), 2 (2-2) and 4 days respectively. The perioperative period was uneventful.Conclusions: Retroperitoneoscopic surgery is feasible and safe in benign renal diseases. Because of reduced post operative pain and less chances of bowel injury, retroperitoneoscopic surgery is gaining more popularity.Keywords: Nonfunctioning kidney; pyeloplasty; renal cyst; retroperitoneoscopic surgery.

Simple Renal Cysts in Hypertensive Patients: Relation between Cyst Growing and Anti-Hypertensive Therapy

2003 ◽  
Vol 16 (2) ◽  
pp. 175-180 ◽  
Author(s):  
C. Schiavone ◽  
L. Salvatore ◽  
A. Primavera ◽  
F. Cuccurullo ◽  
N. Verna ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Renal Cysts ◽  
Fluid Secretion ◽  
Control Group ◽  
Newly Diagnosed ◽  
Cyst Size ◽  
Group 3 ◽  
Group 2 ◽  
Hypertensive Therapy ◽  
Group 1

The study investigates relationship between simple renal cyst enlargement studied by ultrasonography and anti-hypertensive treatment. To this purpose we enrolled 42 patients with newly diagnosed hypertension affected by simple renal cysts. Fourteen were randomly assigned to treatment with ACE-Inhibitors (group 1), twelve to diuretics (group 2) and sixteen to Ca-Antagonists (group 3). Patient performed a basal ultrasonography to evaluate basal cyst dimension before starting anti-hypertensive treatment. Following 12 months of the anti-hypertensive regimen, a new echograph was performed to evaluate changes in cyst size. A control group consisting of 15 patients with normal blood pressure and simple renal cysts was enrolled (group 0). An enlargement of cysts was detected in all patients. However, the enlargement observed in patients treated by Ca-Antagonists was significantly greater than that observed in the other groups (p<0,05). Our study supports the hypothesis that Ca-Antagonists may favor cyst enlargement by enhancing cyclic AMP production. In fact, cAMP and cAMP agonists stimulate fluid secretion by lining cells of the cyst wall, inducing cyst enlargement.

scholarly journals Factors Responsible for Utero-Vaginal Prolapse Among Women Attending at a District Hospital of Bangladesh

2020 ◽  
Vol 18 (2) ◽  
pp. 33-36
Author(s):  
Shireen Akhter Khanam ◽  
Fahmida Rashid ◽  
Shahnaz Sharmin ◽  
Shahnaz Sharmin ◽  
Kamrun Satter ◽  
...  
Keyword(s):  
General Hospital ◽  
Clinical Presentation ◽  
District Hospital ◽  
Uterine Prolapse ◽  
Perinatal Period ◽  
Vaginal Prolapse ◽  
Chronic Obstructive ◽  
Common Disease ◽  
Obstructive Pulmonary Disease ◽  
The Mean

Background : Utero vaginal prolapse is a big health problem in Bangladesh. The aim of this study was to calculate prevalence of uterine prolapse and to find out the possible factors that are responsible for this disease among patients attended at Chattogram General Hospital (250 bedded) Bangladesh. Materials and methods: It was a descriptive study which was done between November 2016 to August 2017. This analysis was restricted to a sample that included all women complaints of uterine prolapse diagnosed and treated at Chattogram General Hospital. Results: During a 10 months period, 100 women were diagnosed and treated with uterine prolapse. The prevalence of utero-vaginal prolapse is 4.2%. The mean age at the time of clinical presentation was 40 years. In average, the women gave birth to four children vaginally. 20% of the women were smokers and 84% of them were postmenopausal. 10% of the affected patients had a Chronic Obstructive Pulmonary Disease (COPD) 41% suffered from hypertension and 15% had diabetes mellitus. The majority of the women with uterine prolapse reported that they were working heavily during perinatal period (78%). Conclusion : In this study several risk factors for uterine prolapse, specially extensive physical labor during pregnancy and immediately after delivery, 100% unavailability of skilled births attendants, smoking while having COPD and low food adequacy during perinatal period are mainly responsible for this common disease. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 33-36

scholarly journals Initial Japanese Experience of Laparoscopic Cholecystectomy Using a New Robot-Assisted System

2018 ◽  
Vol 103 (3-4) ◽  
pp. 171-176
Author(s):  
Hirotaka Okamoto ◽  
Suguru Maruyama ◽  
Hideki Fujii
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Operative Time ◽  
Common Disease ◽  
Robot Assisted ◽  
Advantages And Disadvantages ◽  
Laparoscopic Operation ◽  
Port Access ◽  
The Mean ◽  
The Right

The object of this paper is to clarify the feasibility and safety of robot-assisted laparoscopic cholecystectomy. Acute or chronic cholecystitis is the most common disease in patients, caused by cholecystolithiasis. Minimally invasive laparoscopic surgery is often performed for treatment of cholelithiasis. We performed robot-assisted laparoscopic cholecystectomy for the treatment of 5 patients with cholecystolithiasis. The patient underwent laparoscopic cholecystectomy using the ViKY Endo-Control System (ViKY, EndoControl, Grenoble, France). The robot-controlled laparoscopic holder was placed at the right axilla. The laparoscopic operation was performed via conventional 4-port access using the ViKY system with voice activation. All patients were treated successfully by this robot-assisted laparoscopic procedure, without any complications. Mean docking time using the ViKY was 16 minutes, mean resection time of the gallbladder was 62.2 minutes, operative time was 94.6 minutes, and the mean amount of the blood loss was minimal. Our initial experience demonstrated that robot-assisted laparoscopy was feasible and safe in patients with cholecystolithiasis, providing patient advantages. We also discuss the advantages and disadvantages of robot-assisted laparoscopic surgery.

Laparoscopic treatment of renal cysts: 5 years experience

1996 ◽  
Vol 63 (3) ◽  
pp. 368-373
Author(s):  
C. Trombetta ◽  
G. Liguori
Keyword(s):  
Renal Cyst ◽  
Laparoscopic Approach ◽  
Renal Cysts ◽  
Common Disease ◽  
Laparoscopic Treatment ◽  
Extraperitoneal Approach ◽  
Safe Treatment

Simple renal cysts are a very common disease. They can be single or multiple, mono or bilateral and are generally symptomatic. Recurrent and symptomatic renal cysts can be managed surgically by the laparoscopic approach. In this report we describe our five-year experience with laparoscopic renal cyst resection through transperitoneal and extraperitoneal approach. Laparoscopy can be considered a safe treatment in the case of benign recurrent and complicated cysts.

scholarly journals A New Technique for Simple Renal Cyst: Cystoretroperitoneal Shunt

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Onder Canguven ◽  
Cemal Goktas ◽  
Faruk Yencilek ◽  
Cihangir Cetinel ◽  
Selami Albayrak
Keyword(s):  
Renal Cyst ◽  
Renal Cysts ◽  
Simple Renal Cyst ◽  
Ultrasound Guided ◽  
Cyst Volume ◽  
Mean Size ◽  
The Mean ◽  
A New Technique ◽  
A Prospective Study

Purpose. To evaluate the results of patient symptoms and radiologic outcomes of cystoretroperitoneal shunt (CRS) technique in the treatment of symptomatic simple renal cysts.Patients and Methods. In a prospective study, 37 patients with a simple renal cyst were treated with ultrasound-guided percutaneous CRS-catheter. Radiological success was indicated as no recurrence of the cyst or a reduction in cyst volume by at least half.Results. CRS technique was performed successfully in 36 patients with a simple renal cyst. The mean size of all cysts decreased from 8.8 cm (range 7 to 14) to 1.7 cm (range 0 to 9; ). Symptomatic success (pain relief) was achieved in 29/36 (80.5%) of patients, and radiographic success was achieved in 23/36 (63.8%) of patients, with a median follow-up of 16 months (range 6 to 24).Conclusion. Ultrasound-guided percutaneous CRS technique for simple renal cysts is fast, safe, effective, and inexpensive.

scholarly journals Merits of Kerrisons punch over powered drill in endonasal DCR

2019 ◽  
Vol 5 (2) ◽  
pp. 387
Author(s):  
Shahnaz Sheikh ◽  
Vikrant Vilas Vaze ◽  
Anushree Bajaj ◽  
Bhalachandra .
Keyword(s):  
Success Rate ◽  
Operative Time ◽  
Operating Time ◽  
Nasolacrimal Duct ◽  
Duct Obstruction ◽  
Medical College ◽  
Significant Difference ◽  
Endonasal Dcr ◽  
Endoscopic Dcr ◽  
The Mean

<p class="abstract"><strong>Background:</strong> DCR is an operation used to treat nasolacrimal duct obstruction. Various types of DCR are conventional, endonasal/endoscopic DCR and endolaser DCR. Several modalities like Kerrison punch and powered drill are used in endoscopic DCR to improve success rate, reduce complications and shorten operative time. Aim of the study were, to compare the advantages of non powered Kerrison  punch over powered drill regarding time in endoscopic DCR and to compare the advantages of non powered Kerrison punch over powered drill regarding complication rate in endoscopic DCR</p><p class="abstract"><strong>Methods:</strong> The study was carried out at ENT department of Dr. Ulhas Patil Medical College and hospital Jalgaon from March 2017 to July 2018. Total of 61 patients were included in the study (35 Kerrison punch and 33 drill).  </p><p class="abstract"><strong>Results:</strong> A total of 68 endoscopic DCRs. Procedure success rate among Kerrison punch group was 88.00% vs 91% in drill group. The complications for both groups were statistically not significant(P=0.91).The mean operating time among Kerrison punch group was significantly lower than in drill group 80 vs. 135 min (P=0.0001).</p><p class="abstract"><strong>Conclusions:</strong> Kerrison punch showed significant reduction in operating time when compared to drill for endoscopic DCR. No statistically significant difference was found between both groups regarding procedures, success rate and complications.</p>

LAPAROSCOPIC TRANS-ABDOMINAL PRE-PERITONEAL (TAPP) REPAIR FOR TREATMENT INGUINAL HERNIA DISEASE

2018 ◽  
Vol 8 (4) ◽  
pp. 76-80
Author(s):  
Thao Nguyen Minh ◽  
Vu Pham Anh ◽  
Tri Nguyen Huu ◽  
Phu Nguyen Doan Van ◽  
Phuc Nguyen Thanh ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Bilateral Hernia ◽  
Repair Method ◽  
Tapp Repair ◽  
Post Operation ◽  
Average Operative Time ◽  
The Mean

Background: Inguinal hernia is one of the commonest surgical diseases and there are many different techniques applied. The laparoscopic trans-abdominal pre-peritoneal (TAPP) repair allows a better view of the inguinal anatomy, evaluation of opposite side and resolve combined peritoneal diseases as well. Patient and method: The study included 60 cases with inguinal hernia that have been treated by laparoscopic transabdominal pre-peritoneal (TAPP) repair. Method: Description, prospective follow-up. Result: The mean age was 58±18.2. 96.7% were males. The average operative time was 45.6±15.1 minutes for one side hernia, 73±25.2 minutes for bilateral hernia. 02 cases have been post-operation inguinal seroma complication (3.3%), 02 cases with hydrocele (3.3%), 01 case with abdominal seroma (1.7%). 04 cases (6.7%) opposite inguinal hernia were detected and 05 cases (8.3%) with combined diseases were resolved. Duration of post-operative stay was 3.9±1.1 days. Conclusion: TAPP is a safe and feasible procedure, allows evaluation of opposite side and resolve combined peritoneal diseases.

CLINICAL AND PARACLINICAL CHARACTERISTITICS OF ROTAVIRUS DIARRHEA IN CHILDREN LESS THAN 5 YEARS OLD IN PEDIATRIC DEPARTMENT OF BINH DINH GENERAL HOSPITAL

2013 ◽  
pp. 50-56
Author(s):  
Quoc Tinh Nguyen ◽  
Thi Cu Nguyen
Keyword(s):  
General Hospital ◽  
Acute Diarrhea ◽  
White Blood Cells ◽  
Blood Calcium ◽  
Pediatric Department ◽  
Rotavirus A ◽  
Initial Symptoms ◽  
Stool Specimens ◽  
The Mean ◽  
Rotavirus Diarrhea

Background: Diarrhea is a leading cause of morbidity and mortality in children in developing countries. Rotavirus is the most important factor cause of severe diarrhea and mortality in children, especially under 2 years. Objective: To study Clinical and paraclinical characteristitics of rotavirus diarrhea in children less than 5 years old in the Pediatric Department of Binh Dinh General Hospital. Methods: Cross observational study, 417 children from 2 months to 5 years old who were hospitalized for acute diarrhea without blood in stool in Pediatric Department of Binh Dinh general hospital, from 15/3/2012 to 14/3/2013. There were 228 patients with rotavirus - positive stool specimens and 189 patients with rotavirus - negative stool specimens. Tested for rotavirus A classification by agglutination techniques. Results: Percentage of Rotavirus diarrhea in children <5 years was 54.7%. The mean age of rotavirus diarrhea was 14.83 ± 9.08 tháng months. Ages with the highest cases of rotavirus diarrhea are 2 - 12 months: 48.2%. Rotavirrus diarrhea is experienced in every month but, the highest prevalence is experienced in the spring - summer) with 71,5%. Clinical characteristitics of rotavirus diarrhea: Vomit presents in 91,7% of cases. 32.9% of the initial symptoms of the disease is vomiting. Mean number of vomiting episodes per day: 7 ± 3.57 times, significantly higher compared with non-rotavirus acute diarrhea (p <0,01). Mean number of bowel movement per day: 10.61±4.18 times, mean duration of diarrhea: 6.66 ± 2.52 days. Younger children have higher frequency and duration of diarrhea compared to older children. Paraclinical characteristitics of rotavirus diarrhea: the mean number leukocyte: 9.74 ±3.61 (x 109/l). 2.2% with low blood sodium status; 8.8% with reduction in serum potassium concentration. 26.3% with low blood calcium and glucose status. Laboratory characteristics of stool: 8.8% with white blood cells in stool, 41.7% with carbohydrate in stool. Conclusion: Rotavirus accounting for 54.7% of the causes of diarrhea in children. Rotavirus diarrhea is experienced throughout the year but the highest prevalence is in the spring-summer. Prominent symptoms of the disease are vomiting and watery stool. Children <24 months experience higher frequency and duration of diarrhea compared to older age groups. Key words: Diarrhea, Rotavirus.

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