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Laparoscopic treatment of retroperitoneal fibrosis: report of two cases and review of the literature
Castilho, Lísias Nogueira; Mitre, Anuar Ibrahim; Iizuka, Flávio Haruyo; Fugita, Oscar Eduardo Hidetoshi; Colombo Júnior, José Roberto; Arap, Sami.
Afiliação
  • Castilho, Lísias Nogueira; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
  • Mitre, Anuar Ibrahim; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
  • Iizuka, Flávio Haruyo; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
  • Fugita, Oscar Eduardo Hidetoshi; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
  • Colombo Júnior, José Roberto; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
  • Arap, Sami; Universidade Federal de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. BR
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo ; 55(2): 69-76, Mar.-Apr. 2000.
Artigo em Inglês | LILACS | ID: lil-265862
Biblioteca responsável: BR1.1
ABSTRACT

OBJECTIVES:

We present the results of treatment by laparoscopy of two patients with retroperitoneal fibrosis and review the literature since 1992, when the first case of this disease that was treated using laparoscopy was published. We also discuss the contemporary alternatives of clinical treatment with corticosteroids and tamoxifen. CASE REPORT Two female patients, one with idiopathic retroperitoneal fibrosis, and other with retroperitoneal fibrosis associated with Riedel's thyroiditis, were treated using laparoscopic surgery. Both cases had bilateral pelvic ureteral obstruction and were treated using the same technique transperitoneal laparoscopy, medial mobilization of both colons, liberation of both ureters from the fibrosis, and intraperitonealisation of the ureters. Double-J catheters were inserted before the operations and removed 3 weeks after the procedures. The first patient underwent intraperitonealisation of both ureters in a single procedure. The other had 2 different surgical procedures because of technical difficulties during the first operation. Both patients were followed for more than 1 year and recovered completely from the renal insufficiency. One of them still has occasional vague lumbar pain. There were no abnormalities in the intravenous pyelography in either case.

CONCLUSIONS:

Surgical correction of retroperitoneal fibrosis, when indicated, should be attempted using laparoscopy. If possible, bilateral ureterolysis and intraperitonealisation of both ureters should be performed in the same operation
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Fibrose Retroperitoneal / Obstrução Ureteral / Laparoscopia Tipo de estudo: Relato de casos Limite: Feminino / Humanos Idioma: Inglês Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Assunto da revista: Medicina Ano de publicação: 2000 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal de Säo Paulo/BR

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Fibrose Retroperitoneal / Obstrução Ureteral / Laparoscopia Tipo de estudo: Relato de casos Limite: Feminino / Humanos Idioma: Inglês Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Assunto da revista: Medicina Ano de publicação: 2000 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal de Säo Paulo/BR
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