RESUMO
Retroperitoneoscopic management of complications of a horseshoe kidney provides a feasible and effective alternative to conventional management. We describe a patient who had presented with multiple calculi and a poorly functioning left moiety of a horseshoe kidney, in whom we performed a retroperitoneoscopic left heminephrectomy. Most of the previous reports of laparoscopic nephrectomy have been described via the transperitoneal route. Division of the isthmus was done using ultrasonic shears. The patient had an uneventful recovery and was discharged within 24 hours.
Assuntos
Cálculos Renais/cirurgia , Nefropatias/cirurgia , Laparoscopia/métodos , Nefrectomia/métodos , Adulto , Humanos , Rim/anormalidades , Rim/cirurgia , Cálculos Renais/etiologia , Nefropatias/complicações , Nefropatias/congênito , Masculino , Espaço RetroperitonealAssuntos
Laparoscopia , Divertículo Ileal/diagnóstico , Humanos , Lactente , Masculino , Divertículo Ileal/cirurgiaRESUMO
We report on a patient who developed subcutaneous emphysema with hypercarbia during an endoscopic, totally extraperitoneal (TEP) repair of an inguinal hernia. The possible mechanisms of carbon dioxide (CO2) insufflation causing emphysema of the subcutaneous tissues are discussed and ways to prevent it are proposed.
