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Hill A, Charchenko C. Ureteropelvic junction obstruction secondary to parapelvic cyst encased ureter. Urol Case Rep 2024; 53:102682. [PMID: 38495852 PMCID: PMC10943285 DOI: 10.1016/j.eucr.2024.102682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 02/12/2024] [Accepted: 02/13/2024] [Indexed: 03/19/2024] Open
Abstract
We present a 64-year-old male who presented with right-sided flank pain secondary to a parapelvic cyst impinging on the proximal ureter. However, intraoperative findings showed that the ureter was encased within the parapelvic cyst and secondarily obstructed at the UPJ rather than extrinsically compressed by the cyst. This specific anatomic variant is exceedingly rare as no published cases with similar anatomy could be identified.
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Affiliation(s)
- Austin Hill
- University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, United States
| | - Cameron Charchenko
- University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, United States
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Liu M, Xiao R, Pan Q, Yin Y, Wang L. Ultrasound-guided percutaneous intracystic deroofing is effective in the treatment of simple renal cysts. Am J Transl Res 2023; 15:5469-5476. [PMID: 37692955 PMCID: PMC10492059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 08/10/2023] [Indexed: 09/12/2023]
Abstract
OBJECTIVE To investigate the efficacy and safety of ultrasound-guided percutaneous intracystic deroofing for the treatment of simple renal cysts. METHODS A retrospective study was conducted to analyze the clinical data of 46 patients with dorsal exophytic simple renal cysts treated at the First Affiliated Hospital of Nanchang University between February 2017 and June 2022. The patients were divided into two groups according to the surgical method, with 20 cases undergoing ultrasound-guided percutaneous intracystic deroofing being assigned to the observation group and 26 cases treated by retroperitoneal laparoscopic renal cyst removal included in the control group. The operation time, blood loss, postoperative catheterization time, postoperative drainage tube indwelling time, postoperative hospital stay, and complications were compared. RESULTS None of the 46 patients converted to open surgery. The observation group showed significantly less blood loss, shorter operation time, drainage tube drainage time, postoperative hospital stay, and indwelling catheter time than the control group (all P<0.05). The two procedures had a success rate of 100%. There were no statistical significances in K+, Na+, or serum creatinine between the two groups (all P>0.05). All patients were followed up (3 to 6 months) after surgery, and no cyst recurrence was found by imaging examination. CONCLUSIONS Ultrasound-guided percutaneous intracystic deroofing of renal cysts is worthy of clinical application in the treatment of simple renal cysts due to its significant advantages such as short operation time, less trauma, quick recovery, safety, effectiveness, and low cost.
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Affiliation(s)
- Mei Liu
- Department of Anesthesiology, The First Affiliated Hospital of Nanchang UniversityNanchang 330006, Jiangxi, China
| | - Ruihai Xiao
- Hospita of Nanchang UniversityNanchang 330006, Jiangxi, China
| | - Qiufeng Pan
- Department of Urology, The First Affiliated Hospital of Nanchang UniversityNanchang 330006, Jiangxi, China
| | - Yingqun Yin
- Hospita of Nanchang UniversityNanchang 330006, Jiangxi, China
| | - Longwang Wang
- Department of Urology, The First Affiliated Hospital of Nanchang UniversityNanchang 330006, Jiangxi, China
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Patel NJ, Brady R, Scharf VF. Single-Incision Laparoscopic Deroofing and Omentalization of a Cystic Renal Adenoma in a Dog. J Am Anim Hosp Assoc 2021; 56:331. [PMID: 33113559 DOI: 10.5326/jaaha-ms-6991] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2020] [Indexed: 11/11/2022]
Abstract
A 12 yr old 13.5 kg male castrated Pembroke Welsh corgi was presented for evaluation of a suspected renal cyst following multiple episodes of lethargy and abdominal pain. Abdominal imaging revealed a large, thin-walled, hypoechoic cystic lesion associated with the cranial pole of the left kidney and a second smaller cystic lesion on the caudal pole. The larger cystic lesion was repeatedly drained percutaneously, but the lesion returned to initial size and clinical signs returned within weeks. Percutaneous ethanol sclerotherapy achieved only transient improvement in lesion size and abdominal discomfort. Laparoscopic deroofing and omentalization of the larger left renal cystic lesion was performed. The resected cystic wall was histopathologically consistent with a renal adenoma. Abdominal ultrasonography performed 1 mo postoperatively found no recurrence of the cystic renal adenoma. Repeated ultrasonography at 3 mo postoperatively detected a small cystic lesion at the cranial pole of the left kidney, which remained static in appearance at 11 and 18 mo postoperatively. During all follow-up visits, the dog was reported to be doing well with no recurrence of clinical signs. Renal cysts causing clinical signs and renal adenomas are rare in veterinary medicine; laparoscopic deroofing and omentalization provides a minimally invasive treatment approach.
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Affiliation(s)
- Nikesh J Patel
- From the College of Veterinary Medicine (N.J.P.) and Department of Clinical Sciences (V.F.S.), North Carolina State University, Raleigh, North Carolina; and Department of Surgical and Radiological Sciences, University of California Davis, Davis, California (R.B.)
| | - Rachel Brady
- From the College of Veterinary Medicine (N.J.P.) and Department of Clinical Sciences (V.F.S.), North Carolina State University, Raleigh, North Carolina; and Department of Surgical and Radiological Sciences, University of California Davis, Davis, California (R.B.)
| | - Valery F Scharf
- From the College of Veterinary Medicine (N.J.P.) and Department of Clinical Sciences (V.F.S.), North Carolina State University, Raleigh, North Carolina; and Department of Surgical and Radiological Sciences, University of California Davis, Davis, California (R.B.)
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Gu P, Li M, Zhang M, He X. Effect of body mass index on the operation time and postoperative hospital stay of retroperitoneal laparoscopic renal cyst decortication. LAPAROSCOPIC, ENDOSCOPIC AND ROBOTIC SURGERY 2021. [DOI: 10.1016/j.lers.2021.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Zhang X, Cao D, Han P, Ren Z, Wang J, Wei Q. Aspiration-sclerotherapy versus laparoscopic de-roofing in the treatment of renal cysts: which is better? BMC Nephrol 2020; 21:193. [PMID: 32448166 PMCID: PMC7245882 DOI: 10.1186/s12882-020-01832-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Accepted: 04/27/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND To compare the clinical efficiency between aspiration-sclerotherapy (AS) and laparoscopic de-roofing (LD) in the management of renal cysts through meta-analysis of comparative studies. METHOD A comprehensive literature search was performed by PubMed, MEDLINE, Ovid and Web of Science for relevant studies published up to January 2020. The statistical analyses were conducted with Review Manager 5.3.0 and Stata 15.1. The sensitivity analysis was also carried out to confirm the reliability of this Meta-analysis. RESULTS Our searches of literature generated 6 studies (1547 patients incorporated) comparing AS with LD in the impacts of renal cyst therapy. Of these, 6 studies contained 1106 and 441 patients who were treated with AS and LD, respectively. The outcome of this meta-analysis indicated that LD group was superior in symptomatic successful rate [Odds Ratio (OR): 0.28; 95%Confidence Interval (CI): 0.09 to 0.86; P = 0.03), radiological successful rate (OR: 0.06; 95%CI: 0.02 to 0.15; P < 0.01) and recurrence rate (OR: 6.08; 95%CI: 2.81 to 13.15; p < 0.01). Nevertheless, AS group had shorter treatment time [Mean Difference (MD):-51.10; 95% CI:-73.01 to - 29.20; p < 0.01]. No statistically significant difference was showed in the rate of complications (OR: 3.19; 95% CI: 0.39 to 25.88; P = 0.28). CONCLUSIONS In our meta-analysis, LD had higher symptomatic successful rate, radiological successful rate as well as lower recurrence rate than AS, while the treatment time was longer.
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Affiliation(s)
- Xueling Zhang
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China
| | - Dehong Cao
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China
- State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, 61000, People's Republic of China
| | - Peizhen Han
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China
| | - Zhengju Ren
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China
| | - Jia Wang
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China.
| | - Qiang Wei
- Department of Urology, West China Hospital, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, People's Republic of China.
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Han X, Yuan G, Zhu X, Li T, Li Y, Zhang P, Zhang X, Yang B, Yin G. A comparative study of mini- versus standard laparoscopy in the treatment of renal cysts. MINIM INVASIV THER 2020; 30:179-186. [PMID: 32281887 DOI: 10.1080/13645706.2019.1699835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION This study aimed to investigate the safety and efficacy of mini-laparoscopy for renal cyst unroofing. MATERIAL AND METHODS Eighty-six patients for treatment of renal cysts that met the selection criteria were included in this study. They were divided into two groups. Forty-five patients underwent cyst unroofing via mini-laparoscopy (Group M), and 43 patients underwent cyst unroofing via standard laparoscopy (Group S). There were no differences between the two groups in terms of sex, age, body mass index or clinical data. Data from the groups were recorded and analyzed. RESULTS The average hospital stays were shorter (p = .039) and postoperative painkiller demand was lower (p = .031) in Group M than in Group S. Forty-one out of 45 procedures in Group M were successful, and all 43 cases in Group S were successfully. With a follow-up period of 0.5 to 5.5 years, there was no significant difference in recovery rate (p = .213). Questionnaires showed that patients in Group M were significantly more satisfied with their cosmetic results than were patients in Group S (p = .041). CONCLUSION Our findings suggest that renal cyst decortications with mini-laparoscopic instruments are as safe and effective as procedures using standard laparoscopic instruments. Cosmetically, the results are better with mini-laparoscopy than with standard laparoscopic unroofing.
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Affiliation(s)
- Xiuwu Han
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Guangtong Yuan
- Department of Urology, People's hospital of Suning County, Suning, P. R. China
| | - Xuhui Zhu
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Tao Li
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Yansheng Li
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Peng Zhang
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Xin Zhang
- Institute of Urology, Capital Medical University, Beijing, P. R. China.,Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
| | - Baoshen Yang
- Department of Urology, People's hospital of Suning County, Suning, P. R. China
| | - Genmin Yin
- Department of Urology, People's hospital of Suning County, Suning, P. R. China
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