Document Detail


Laparoscopic marsupialization of the painful polycystic kidney.
MedLine Citation:
PMID:  7869473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Autosomal dominant polycystic kidney disease patients may present with intractable cyst pain. Common practice has been to attempt percutaneous drainage of the affected cyst and, if unsuccessful, to offer open surgical decortication. We report laparoscopic renal cyst marsupialization for painful autosomal dominant polycystic kidney disease among 6 patients who failed prior percutaneous drainage. Mean surgical and anesthesia times were 3 hours and 3 hours 35 minutes, respectively. Mean blood loss was 140 cc. Median intervals to ambulation, oral intake and hospital discharge were 1.5, 1.5 and 3 days, respectively. All 6 patients reported pain relief with followup of 6 to 40 months. These results suggest that laparoscopic marsupialization of painful autosomal dominant polycystic kidney disease is technically feasible and safe, and the laparoscopic approach may offer a palliative option for patients in whom prior percutaneous management failed.
Authors:
J M Teichman; J C Hulbert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  153     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-03-29     Completed Date:  1995-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1105-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, University of Minnesota Hospital and Clinic, Minneapolis.
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MeSH Terms
Descriptor/Qualifier:
Blood Loss, Surgical
Drainage / methods
Humans
Laparoscopy / methods*
Pain, Intractable / etiology
Polycystic Kidney, Autosomal Dominant / complications,  surgery*
Postoperative Complications
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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