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Simple nephrectomy: managing the difficult case: xanthogranulomatous pyelonephritis and autosomal dominant polycystic kidney disease.

Authors
  • Anderson, K R
Type
Published Article
Journal
Journal of endourology / Endourological Society
Publication Date
Dec 01, 2000
Volume
14
Issue
10
Identifiers
PMID: 11206612
Source
Medline
License
Unknown

Abstract

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.

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