A miserable child with an abdominal mass--and more.
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Based on 12 years of experience, laparoscopic nephrectomy has become the reference approach to benign kidney disease. This technique is effective, safe and reproducible. The complication rate is comparable or even lower than that of open nephrectomy and the postoperative course is more favourable. Based on a review of the literature, this paper reviews the technique, indications and results of laparoscopic nephrectomy for benign kidney disease.
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A statistical study of 66 cases of renal xantogranulomatosis (RXG) is presented. This is the most important study published in our country and the third most important in world literature. Twenty years of experience dealing with this clinical entity are presented, detailing the clinical, analytical, radiological, etc., features of this entity with a clear diagnostic orientation and surgical application. An assessment is made of the pathological associations that can contribute to mask this entity, special mention is made of kidney stones and urinary tract tumors. The results obtained with current diagnostic methods such as ultrasound and computed tomography are evaluated, and the personal experience in preoperative cytological diagnosis is updated. The conservative and radical therapeutic approaches are discussed and commented on, mention is made of the difficulties presented by this type of surgery due to the implication of neighboring organs in many cases. Finally, the personal experience of 66 cases is compared to that of 720 cases published in international literature, only considering those reports dealing with 5 or more cases.
The authors present their algorithmic approach to the detection, characterization, and staging of renal masses. Based on classification of urographic findings, the patient may be triaged to the appropriate cross-sectional or invasive imaging modality that will result in the most cost-effective management.
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Pyogenic psoas abscess in children is most commonly a primary disease process associated with Staphylococcus aureus. We report three cases of secondary psoas abscess associated with underlying renal pathology.
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