Is it safe and effective to treat complex renal cysts by the laparoscopic approach?

Background And Purpose: Bosniak III and IV renal cysts have low mortality potential, and little is reported regarding the feasibility and safety of managing such tumors by laparoscopy and its comparison with open surgery. We report on the experience with 37 complex renal cysts managed in the era of laparoscopy.

Patients And Methods: A retrospective analysis of a prospective database from all patients with renal tumors who were operated on at our institution was evaluated after Institutional Review Board approval.

Pulmonary thromboembolism secondary to left spermatic vein thrombosis: a case report.

Spermatic vein thrombosis is a particularly rare entity which can be difficult to diagnose. Pulmonary embolism associated with spermatic vein thrombosis is rarely seen. We report the diagnosis and management of a case at our institution and recommend spermatic vein ligation as the definite treatment for thrombosed spermatic veins associated with pulmonary thromboembolism.

Laparoscopic retrieval of a migrated Amplatz sheath.

Objectives: Percutaneous nephrolithotomy is a relatively safe technique. However, it is not exempt from complications, some of which can be severe and even fatal. Some complications may be plausible for laparoscopic management.

[Concordance of Gleason histological scoring for prostatic cancer in needle biopsies and the surgical piece obtained during radical prostatectomy].

Background: The Gleason histological score is an independent prognostic factor in prostate cancer that helps in therapeutic decisions.

Aim: To analyze the concordance between the Gleason score of needle prostatic biopsy and the score from the study of the surgical piece obtained during radical prostatectomy.

Material And Methods: Retrospective analysis of 212 cases of prostate cancer, diagnosed between February 1993 and March 2003.